Physician Compare National (NPI:1821206442)

HEALTHCARE PROVIDER: MEHUL GARALA MD

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

Individual Professional Information
NPI	1821206442
	Unique healthcare provider (clinician) ID assigned by NPPES
PECOS UID	0941494140
	Unique individual clinician ID assigned by PECOS
Professional Enrollment ID	I20101102000229
	Unique ID for the individual professional enrollment that is the source for the data in the observation
Provider Last Name	GARALA
	Individual professional last name
Provider First Name	MEHUL
	Individual professional first name
Provider Gender	M
	The provider's gender if the provider is a person.

Medical School Information
Medical School Name	VIRGINIA COMMONWEALTH UNIVERSITY, SCHOOL OF MEDICINE
	Individual professional's medical school
Graduation Year	2006
	Individual professional's medical school graduation year
Primary Specialty	PHYSICAL MEDICINE AND REHABILITATION
	Primary medical specialty reported by the individual professional in the selected enrollment
Secondary Specialty 1	SPORTS MEDICINE
	First secondary medical specialty reported by the individual professional in the selected enrollment
All Secondary Specialties	SPORTS MEDICINE
	All four secondary specialties reported by the individual professional in the selected enrollment, separated by commas

Practice Information
Organization Legal Name	ILLINOIS BONE AND JOINT INSTITUTE LLC
	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	6002814878
	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	384
	Total number of individual professionals affiliated with the Group Practice based on Group Practice PAC ID
Line 1 Street Address	9000 WAUKEGAN RD
	Group Practice or individual's line 1 address
City	MORTON GROVE
	Group Practice or individual's city
State	IL
	Group Practice or individual's state
Zip Code	600532127
	Group Practice or individual's zip code (9 digits when available)
Phone Number	8472135444
	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	140010
	Medicare CCN of hospital where individual professional provides service 1
Hospital Affiliation LBN 1	NORTHSHORE UNIVERSITY HEALTHSYSTEM - EVANSTON HOSPITAL
	Legal business name of hospital where individual professional provides service 1
Professional Accepts Medicare Assignment	Y