Physician Compare National (NPI:1508936782)

HEALTHCARE PROVIDER: CHYRISSE LYNN WILKINS DC

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

Individual Professional Information
NPI	1508936782
	Unique healthcare provider (clinician) ID assigned by NPPES
PECOS UID	6305008012
	Unique individual clinician ID assigned by PECOS
Professional Enrollment ID	I20120425000536
	Unique ID for the individual professional enrollment that is the source for the data in the observation
Provider Last Name	WILKINS
	Individual professional last name
Provider First Name	CHYRISSE
	Individual professional first name
Provider Gender	F
	The provider's gender if the provider is a person.

Medical School Information
Medical School Name	LIFE CHIROPRACTIC COLLEGE
	Individual professional's medical school
Graduation Year	1993
	Individual professional's medical school graduation year
Primary Specialty	CHIROPRACTIC
	Primary medical specialty reported by the individual professional in the selected enrollment
Secondary Specialty 1	PHYSICAL MEDICINE AND REHABILITATION
	First secondary medical specialty reported by the individual professional in the selected enrollment
Secondary Specialty 2	SPORTS MEDICINE
	Second secondary medical specialty reported by the individual professional in the selected enrollment
All Secondary Specialties	PHYSICAL MEDICINE AND REHABILITATION, SPORTS MEDICINE
	All four secondary specialties reported by the individual professional in the selected enrollment, separated by commas

Practice Information
Line 1 Street Address	7901 BRANCH AVE
	Group Practice or individual's line 1 address
City	CLINTON
	Group Practice or individual's city
State	MD
	Group Practice or individual's state
Zip Code	207351626
	Group Practice or individual's zip code (9 digits when available)

Hospital(s) Affiliation Information
Professional Accepts Medicare Assignment	Y