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Physician Compare National (NPI:1710191705)

HEALTHCARE PROVIDER: LUCY DEY 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 1710191705
Unique healthcare provider (clinician) ID assigned by NPPES
PECOS UID 9234230749
Unique individual clinician ID assigned by PECOS
Professional Enrollment ID I20070727000738
Unique ID for the individual professional enrollment that is the source for the data in the observation
Provider Last Name DEY
Individual professional last name
Provider First Name LUCY
Individual professional first 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 1982
Individual professional's medical school graduation year
Primary Specialty ENDOCRINOLOGY
Primary medical specialty reported by the individual professional in the selected enrollment
Secondary Specialty 1 INTERNAL MEDICINE
First secondary medical specialty reported by the individual professional in the selected enrollment
All Secondary Specialties INTERNAL MEDICINE
All four secondary specialties reported by the individual professional in the selected enrollment, separated by commas

Practice Information

Line 1 Street Address 1890 SILVER CROSS BLVD
Group Practice or individual's line 1 address
Line 2 Street Address SUITE 340
Group Practice or individual's line 2 address
City NEW LENOX
Group Practice or individual's city
State IL
Group Practice or individual's state
Zip Code 604519604
Group Practice or individual's zip code (9 digits when available)

Hospital(s) Affiliation Information

Hospital Affiliation CCN 1 140213
Medicare CCN of hospital where individual professional provides service 1
Hospital Affiliation LBN 1 SILVER CROSS HOSPITAL AND MEDICAL CENTERS
Legal business name of hospital where individual professional provides service 1
Hospital Affiliation CCN 2 140007
Medicare CCN of hospital where individual professional provides service 2
Hospital Affiliation LBN 2 PRESENCE SAINT JOSEPH MEDICAL CENTER
Legal business name of hospital where individual professional provides service 2
Hospital Affiliation CCN 3 140062
Medicare CCN of hospital where individual professional provides service 3
Hospital Affiliation LBN 3 PALOS COMMUNITY HOSPITAL
Legal business name of hospital where individual professional provides service 3
Hospital Affiliation CCN 4 140234
Medicare CCN of hospital where individual professional provides service 4
Hospital Affiliation LBN 4 ILLINOIS VALLEY COMMUNITY HOSPITAL
Legal business name of hospital where individual professional provides service 4
Professional Accepts Medicare Assignment Y

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