Physician Compare National (NPI:1508820184)

HEALTHCARE PROVIDER: STAVROS G MARAGOS 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	1508820184
	Unique healthcare provider (clinician) ID assigned by NPPES
PECOS UID	1951399823
	Unique individual clinician ID assigned by PECOS
Professional Enrollment ID	I20040501000189
	Unique ID for the individual professional enrollment that is the source for the data in the observation
Provider Last Name	MARAGOS
	Individual professional last name
Provider First Name	STAVROS
	Individual professional first name
Provider Middle Name	G
	Individual professional middle name
Provider Gender	M
	The provider's gender if the provider is a person.
Provider Credential Text	MD
	The abbreviations for professional degrees or credentials used or held by the provider, if the provider is an individual. Examples are MD, DDS, CSW, CNA, AA, NP, RNA, or PSY. These credential designations will not be verified by NPS.

Medical School Information
Medical School Name	PERELMAN SCHOOL OF MED AT THE UNIVERSITY OF PENNSYLVANIA
	Individual professional's medical school
Graduation Year	1992
	Individual professional's medical school graduation year
Primary Specialty	CARDIOVASCULAR DISEASE (CARDIOLOGY)
	Primary medical specialty reported by the individual professional in the selected enrollment

Practice Information
Organization Legal Name	HEART CARE CENTERS OF ILLINOIS, S.C.
	Legal name of the Group Practice that the individual professional works with- will be blank if the address is not linked to a Group Practice
Group Practice PAC ID	6103738810
	Unique Group Practice ID assigned by PECOS to the Group Practice that the individual professional works with- will be blank if the address is not linked to a Group Practice
Number of Group Practice members	30
	Total number of individual professionals affiliated with the Group Practice based on Group Practice PAC ID
Line 1 Street Address	1900 SILVER CROSS BLVD
	Group Practice or individual's line 1 address
City	NEW LENOX
	Group Practice or individual's city
State	IL
	Group Practice or individual's state
Zip Code	604519509
	Group Practice or individual's zip code (9 digits when available)
Phone Number	8153007097
	Phone number is listed only when there is a single phone number available for the practice location address

Hospital(s) Affiliation Information
Hospital Affiliation CCN 1	140007
	Medicare CCN of hospital where individual professional provides service 1
Hospital Affiliation LBN 1	PRESENCE SAINT JOSEPH MEDICAL CENTER
	Legal business name of hospital where individual professional provides service 1
Hospital Affiliation CCN 2	140213
	Medicare CCN of hospital where individual professional provides service 2
Hospital Affiliation LBN 2	SILVER CROSS HOSPITAL AND MEDICAL CENTERS
	Legal business name of hospital where individual professional provides service 2
Hospital Affiliation CCN 3	140242
	Medicare CCN of hospital where individual professional provides service 3
Hospital Affiliation LBN 3	CENTRAL DUPAGE HOSPITAL
	Legal business name of hospital where individual professional provides service 3
Hospital Affiliation CCN 4	140101
	Medicare CCN of hospital where individual professional provides service 4
Hospital Affiliation LBN 4	MORRIS HOSPITAL & HEALTHCARE CENTERS
	Legal business name of hospital where individual professional provides service 4
Professional Accepts Medicare Assignment	Y