Physician Compare National (NPI:1538128517)

HEALTHCARE PROVIDER: CAROL R WEINBERG MD

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

Individual Professional Information
NPI	1538128517
	Unique healthcare provider (clinician) ID assigned by NPPES
PECOS UID	5496885626
	Unique individual clinician ID assigned by PECOS
Professional Enrollment ID	I20100614000651
	Unique ID for the individual professional enrollment that is the source for the data in the observation
Provider Last Name	WEINBERG
	Individual professional last name
Provider First Name	CAROL
	Individual professional first name
Provider Middle Name	R
	Individual professional middle name
Provider Gender	F
	The provider's gender if the provider is a person.

Medical School Information
Medical School Name	OTHER
	Individual professional's medical school
Graduation Year	1984
	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	608 S WASHINGTON ST
	Group Practice or individual's line 1 address
Line 2 Street Address	SUITE 300
	Group Practice or individual's line 2 address
City	NAPERVILLE
	Group Practice or individual's city
State	IL
	Group Practice or individual's state
Zip Code	605406657
	Group Practice or individual's zip code (9 digits when available)

Hospital(s) Affiliation Information
Hospital Affiliation CCN 1	140231
	Medicare CCN of hospital where individual professional provides service 1
Hospital Affiliation LBN 1	EDWARD HOSPITAL
	Legal business name of hospital where individual professional provides service 1
Hospital Affiliation CCN 2	140029
	Medicare CCN of hospital where individual professional provides service 2
Hospital Affiliation LBN 2	COPLEY MEMORIAL HOSPITAL
	Legal business name of hospital where individual professional provides service 2
Professional Accepts Medicare Assignment	Y