Physician Compare National (NPI:1730189598)

HEALTHCARE PROVIDER: MITCHELL GOLDFLIES 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	1730189598
	Unique healthcare provider (clinician) ID assigned by NPPES
PECOS UID	1951582303
	Unique individual clinician ID assigned by PECOS
Professional Enrollment ID	I20110218000267
	Unique ID for the individual professional enrollment that is the source for the data in the observation
Provider Last Name	GOLDFLIES
	Individual professional last name
Provider First Name	MITCHELL
	Individual professional first name
Provider Gender	M
	The provider's gender if the provider is a person.

Medical School Information
Medical School Name	CHICAGO COLLEGE OF MEDICINE AND SURGERY
	Individual professional's medical school
Primary Specialty	ORTHOPEDIC SURGERY
	Primary medical specialty reported by the individual professional in the selected enrollment

Practice Information
Line 1 Street Address	2875 W 19TH ST
	Group Practice or individual's line 1 address
City	CHICAGO
	Group Practice or individual's city
State	IL
	Group Practice or individual's state
Zip Code	606233501
	Group Practice or individual's zip code (9 digits when available)

Hospital(s) Affiliation Information
Hospital Affiliation CCN 1	140095
	Medicare CCN of hospital where individual professional provides service 1
Hospital Affiliation LBN 1	SAINT ANTHONY HOSPITAL
	Legal business name of hospital where individual professional provides service 1
Hospital Affiliation CCN 2	140082
	Medicare CCN of hospital where individual professional provides service 2
Hospital Affiliation LBN 2	LOUIS A WEISS MEMORIAL HOSPITAL
	Legal business name of hospital where individual professional provides service 2
Hospital Affiliation CCN 3	140206
	Medicare CCN of hospital where individual professional provides service 3
Hospital Affiliation LBN 3	NORWEGIAN-AMERICAN HOSPITAL
	Legal business name of hospital where individual professional provides service 3
Hospital Affiliation CCN 4	140115
	Medicare CCN of hospital where individual professional provides service 4
Hospital Affiliation LBN 4	THOREK MEMORIAL HOSPITAL
	Legal business name of hospital where individual professional provides service 4
Professional Accepts Medicare Assignment	Y