Physician Compare National (NPI:1821137142)

HEALTHCARE PROVIDER: PHUONG LIEN TRAN 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	1821137142
	Unique healthcare provider (clinician) ID assigned by NPPES
PECOS UID	0244423812
	Unique individual clinician ID assigned by PECOS
Professional Enrollment ID	I20101015000486
	Unique ID for the individual professional enrollment that is the source for the data in the observation
Provider Last Name	TRAN
	Individual professional last name
Provider First Name	PHUONG
	Individual professional first name
Provider Middle Name	L
	Individual professional middle name
Provider Gender	F
	The provider's gender if the provider is a person.

Medical School Information
Medical School Name	UNIVERSITY OF CONNECTICUT SCHOOL OF MEDICINE
	Individual professional's medical school
Graduation Year	1989
	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	5129 N BROADWAY ST
	Group Practice or individual's line 1 address
Line 2 Street Address	SUITE E
	Group Practice or individual's line 2 address
City	CHICAGO
	Group Practice or individual's city
State	IL
	Group Practice or individual's state
Zip Code	606403012
	Group Practice or individual's zip code (9 digits when available)

Hospital(s) Affiliation Information
Hospital Affiliation CCN 1	140242
	Medicare CCN of hospital where individual professional provides service 1
Hospital Affiliation LBN 1	CENTRAL DUPAGE 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	140114
	Medicare CCN of hospital where individual professional provides service 3
Hospital Affiliation LBN 3	SWEDISH COVENANT HOSPITAL
	Legal business name of hospital where individual professional provides service 3
Professional Accepts Medicare Assignment	Y