Physician Compare National (NPI:1699721142)

HEALTHCARE PROVIDER: MEERA GEORGE MADAPPALLIL 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	1699721142
	Unique healthcare provider (clinician) ID assigned by NPPES
PECOS UID	6204738305
	Unique individual clinician ID assigned by PECOS
Professional Enrollment ID	I20040121000077
	Unique ID for the individual professional enrollment that is the source for the data in the observation
Provider Last Name	MADAPPALLIL
	Individual professional last name
Provider First Name	MEERA
	Individual professional first name
Provider Middle Name	G
	Individual professional middle name
Provider Gender	F
	The provider's gender if the provider is a person.
Provider Credential Text	MD
	The abbreviations for professional degrees or credentials used or held by the provider, if the provider is an individual. Examples are MD, DDS, CSW, CNA, AA, NP, RNA, or PSY. These credential designations will not be verified by NPS.

Medical School Information
Medical School Name	OTHER
	Individual professional's medical school
Graduation Year	1994
	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	2425 W 22ND ST
	Group Practice or individual's line 1 address
Line 2 Street Address	SUITE 210
	Group Practice or individual's line 2 address
City	OAK BROOK
	Group Practice or individual's city
State	IL
	Group Practice or individual's state
Zip Code	605234656
	Group Practice or individual's zip code (9 digits when available)

Hospital(s) Affiliation Information
Hospital Affiliation CCN 1	140200
	Medicare CCN of hospital where individual professional provides service 1
Hospital Affiliation LBN 1	ELMHURST MEMORIAL HOSPITAL
	Legal business name of hospital where individual professional provides service 1
Hospital Affiliation CCN 2	140288
	Medicare CCN of hospital where individual professional provides service 2
Hospital Affiliation LBN 2	ADVOCATE GOOD SAMARITAN HOSPITAL
	Legal business name of hospital where individual professional provides service 2
Hospital Affiliation CCN 3	140008
	Medicare CCN of hospital where individual professional provides service 3
Hospital Affiliation LBN 3	GOTTLIEB MEMORIAL HOSPITAL
	Legal business name of hospital where individual professional provides service 3
Hospital Affiliation CCN 4	140276
	Medicare CCN of hospital where individual professional provides service 4
Hospital Affiliation LBN 4	LOYOLA UNIVERSITY MEDICAL CENTER
	Legal business name of hospital where individual professional provides service 4
Professional Accepts Medicare Assignment	Y