Physician Compare National (NPI:1508997982)

HEALTHCARE PROVIDER: VIJAY BAJAJ 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	1508997982
	Unique healthcare provider (clinician) ID assigned by NPPES
PECOS UID	5294813440
	Unique individual clinician ID assigned by PECOS
Professional Enrollment ID	I20080429000231
	Unique ID for the individual professional enrollment that is the source for the data in the observation
Provider Last Name	BAJAJ
	Individual professional last name
Provider First Name	VIJAY
	Individual professional first 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	1975
	Individual professional's medical school graduation year
Primary Specialty	INTERNAL MEDICINE
	Primary medical specialty reported by the individual professional in the selected enrollment

Practice Information
Line 1 Street Address	10401 S ROBERTS RD
	Group Practice or individual's line 1 address
Line 2 Street Address	SUITE 1
	Group Practice or individual's line 2 address
City	PALOS HILLS
	Group Practice or individual's city
State	IL
	Group Practice or individual's state
Zip Code	604652082
	Group Practice or individual's zip code (9 digits when available)

Hospital(s) Affiliation Information
Hospital Affiliation CCN 1	140062
	Medicare CCN of hospital where individual professional provides service 1
Hospital Affiliation LBN 1	PALOS COMMUNITY HOSPITAL
	Legal business name of hospital where individual professional provides service 1
Hospital Affiliation CCN 2	140208
	Medicare CCN of hospital where individual professional provides service 2
Hospital Affiliation LBN 2	ADVOCATE CHRIST HOSPITAL & MEDICAL CENTER
	Legal business name of hospital where individual professional provides service 2
Professional Accepts Medicare Assignment	Y