Physician Compare National (NPI:1770673204)

HEALTHCARE PROVIDER: ROBERT STEVEN WOJCIK JR. 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	1770673204
	Unique healthcare provider (clinician) ID assigned by NPPES
PECOS UID	2769386242
	Unique individual clinician ID assigned by PECOS
Professional Enrollment ID	I20100618000836
	Unique ID for the individual professional enrollment that is the source for the data in the observation
Provider Last Name	WOJCIK
	Individual professional last name
Provider First Name	ROBERT
	Individual professional first name
Provider Middle Name	S
	Individual professional middle name
Provider Gender	M
	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	1993
	Individual professional's medical school graduation year
Primary Specialty	GENERAL SURGERY
	Primary medical specialty reported by the individual professional in the selected enrollment

Practice Information
Organization Legal Name	ILLINOIS VALLEY SURGICAL ASSOCIATES, SC
	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	1850295320
	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	600 E 1ST ST
	Group Practice or individual's line 1 address
City	SPRING VALLEY
	Group Practice or individual's city
State	IL
	Group Practice or individual's state
Zip Code	613621512
	Group Practice or individual's zip code (9 digits when available)
Phone Number	8156645311
	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	140234
	Medicare CCN of hospital where individual professional provides service 1
Hospital Affiliation LBN 1	ILLINOIS VALLEY COMMUNITY HOSPITAL
	Legal business name of hospital where individual professional provides service 1
Hospital Affiliation CCN 2	140143
	Medicare CCN of hospital where individual professional provides service 2
Hospital Affiliation LBN 2	ST MARGARETS HOSPITAL
	Legal business name of hospital where individual professional provides service 2
Hospital Affiliation CCN 3	140110
	Medicare CCN of hospital where individual professional provides service 3
Hospital Affiliation LBN 3	OTTAWA REGIONAL HOSPITAL DBA OSF SAINT ELIZABETH MDL CTR
	Legal business name of hospital where individual professional provides service 3
Professional Accepts Medicare Assignment	Y