Physician Compare National (NPI:1669923280)

HEALTHCARE PROVIDER: ALEX K JOSEPH MBBS, PA-C

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

Individual Professional Information
NPI	1669923280
	Unique healthcare provider (clinician) ID assigned by NPPES
PECOS UID	7719255140
	Unique individual clinician ID assigned by PECOS
Professional Enrollment ID	I20170607002921
	Unique ID for the individual professional enrollment that is the source for the data in the observation
Provider Last Name	JOSEPH
	Individual professional last name
Provider First Name	ALEX
	Individual professional first name
Provider Gender	M
	The provider's gender if the provider is a person.

Medical School Information
Medical School Name	UNIVERSITY OF WISCONSIN SCHOOL OF MEDICINE
	Individual professional's medical school
Graduation Year	2016
	Individual professional's medical school graduation year
Primary Specialty	PHYSICIAN ASSISTANT
	Primary medical specialty reported by the individual professional in the selected enrollment

Practice Information
Organization Legal Name	ULTRAMED URGENT CARE, LTD
	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	7517243009
	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	2
	Total number of individual professionals affiliated with the Group Practice based on Group Practice PAC ID
Line 1 Street Address	5020 DEMPSTER ST
	Group Practice or individual's line 1 address
City	SKOKIE
	Group Practice or individual's city
State	IL
	Group Practice or individual's state
Zip Code	600771835
	Group Practice or individual's zip code (9 digits when available)
Phone Number	8474232264
	Phone number is listed only when there is a single phone number available for the practice location address

Hospital(s) Affiliation Information
Professional Accepts Medicare Assignment	Y