Physician Compare National (NPI:1659664969)

HEALTHCARE PROVIDER: NIRALI SHAH DOSHI 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	1659664969
	Unique healthcare provider (clinician) ID assigned by NPPES
PECOS UID	1759602121
	Unique individual clinician ID assigned by PECOS
Professional Enrollment ID	I20150610002066
	Unique ID for the individual professional enrollment that is the source for the data in the observation
Provider Last Name	DOSHI
	Individual professional last name
Provider First Name	NIRALI
	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	UNIVERSITY OF ILLINOIS COLLEGE OF MED (CHI/PEOR/ROCK/CHM-URB)
	Individual professional's medical school
Graduation Year	2010
	Individual professional's medical school graduation year
Primary Specialty	PAIN MANAGEMENT
	Primary medical specialty reported by the individual professional in the selected enrollment

Practice Information
Organization Legal Name	PAIN CENTERS OF CHICAGO , LLC
	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	9830143411
	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	3
	Total number of individual professionals affiliated with the Group Practice based on Group Practice PAC ID
Line 1 Street Address	301 MADISON ST
	Group Practice or individual's line 1 address
Line 2 Street Address	SUITE 305
	Group Practice or individual's line 2 address
City	JOLIET
	Group Practice or individual's city
State	IL
	Group Practice or individual's state
Zip Code	604356655
	Group Practice or individual's zip code (9 digits when available)
Phone Number	8157290450
	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
Professional Accepts Medicare Assignment	Y