Physician Compare National (NPI:1790229763)

HEALTHCARE PROVIDER: SYED ASIF HUSSAIN D.P.M

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

Individual Professional Information
NPI	1790229763
	Unique healthcare provider (clinician) ID assigned by NPPES
PECOS UID	3870874837
	Unique individual clinician ID assigned by PECOS
Professional Enrollment ID	I20170105001134
	Unique ID for the individual professional enrollment that is the source for the data in the observation
Provider Last Name	HUSSAIN
	Individual professional last name
Provider First Name	SYED
	Individual professional first name
Provider Middle Name	ASIF
	Individual professional middle name
Provider Gender	M
	The provider's gender if the provider is a person.

Medical School Information
Medical School Name	WILLIAM M. SCHOLL COLLEGE OF PODIATRIC MEDICINE
	Individual professional's medical school
Graduation Year	2013
	Individual professional's medical school graduation year
Primary Specialty	PODIATRY
	Primary medical specialty reported by the individual professional in the selected enrollment

Practice Information
Organization Legal Name	STEVEN T ADELSTEIN DPM 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	1557301090
	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	3
	Total number of individual professionals affiliated with the Group Practice based on Group Practice PAC ID
Line 1 Street Address	1585 BARRINGTON RD
	Group Practice or individual's line 1 address
Line 2 Street Address	SUITE 504
	Group Practice or individual's line 2 address
City	HOFFMAN ESTATES
	Group Practice or individual's city
State	IL
	Group Practice or individual's state
Zip Code	601695019
	Group Practice or individual's zip code (9 digits when available)
Phone Number	8473108100
	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	140258
	Medicare CCN of hospital where individual professional provides service 1
Hospital Affiliation LBN 1	ALEXIAN BROTHERS MEDICAL CENTER 1
	Legal business name of hospital where individual professional provides service 1
Hospital Affiliation CCN 2	140290
	Medicare CCN of hospital where individual professional provides service 2
Hospital Affiliation LBN 2	ST ALEXIUS MEDICAL CENTER
	Legal business name of hospital where individual professional provides service 2
Professional Accepts Medicare Assignment	Y