Physician Compare National (NPI:1508075102)

HEALTHCARE PROVIDER: ROBERT STANISLAW BUDZIAKOWSKI M.D.

Physician Compare National contains general information about individual eligible professionals (EPs) such as demographic information and Medicare quality program participation.

Individual Professional Information
NPI	1508075102
	Unique healthcare provider (clinician) ID assigned by NPPES
PECOS UID	9032286331
	Unique individual clinician ID assigned by PECOS
Professional Enrollment ID	I20080929000670
	Unique ID for the individual professional enrollment that is the source for the data in the observation
Provider Last Name	BUDZIAKOWSKI
	Individual professional last name
Provider First Name	ROBERT
	Individual professional first name
Provider Middle Name	S
	Individual professional middle name
Provider Gender	M
	The provider's gender if the provider is a person.

Medical School Information
Medical School Name	OTHER
	Individual professional's medical school
Graduation Year	1985
	Individual professional's medical school graduation year
Primary Specialty	FAMILY MEDICINE
	Primary medical specialty reported by the individual professional in the selected enrollment
Secondary Specialty 1	OBSTETRICS/GYNECOLOGY
	First secondary medical specialty reported by the individual professional in the selected enrollment
All Secondary Specialties	OBSTETRICS/GYNECOLOGY
	All four secondary specialties reported by the individual professional in the selected enrollment, separated by commas

Practice Information
Line 1 Street Address	3115 N HARLEM AVE
	Group Practice or individual's line 1 address
Line 2 Street Address	SUITE 201
	Group Practice or individual's line 2 address
City	CHICAGO
	Group Practice or individual's city
State	IL
	Group Practice or individual's state
Zip Code	606344683
	Group Practice or individual's zip code (9 digits when available)

Hospital(s) Affiliation Information
Professional Accepts Medicare Assignment	Y