Physician Compare National (NPI:1851457717)

HEALTHCARE PROVIDER: JEAN SHLYAK 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	1851457717
	Unique healthcare provider (clinician) ID assigned by NPPES
PECOS UID	8921280330
	Unique individual clinician ID assigned by PECOS
Professional Enrollment ID	I20110307000462
	Unique ID for the individual professional enrollment that is the source for the data in the observation
Provider Last Name	SHLYAK
	Individual professional last name
Provider First Name	JEAN
	Individual professional first name
Provider Gender	F
	The provider's gender if the provider is a person.

Medical School Information
Medical School Name	OTHER
	Individual professional's medical school
Graduation Year	1973
	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	3000 DUNDEE RD
	Group Practice or individual's line 1 address
Line 2 Street Address	SUITE 215
	Group Practice or individual's line 2 address
City	NORTHBROOK
	Group Practice or individual's city
State	IL
	Group Practice or individual's state
Zip Code	600622432
	Group Practice or individual's zip code (9 digits when available)
Phone Number	8473908550
	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	140223
	Medicare CCN of hospital where individual professional provides service 1
Hospital Affiliation LBN 1	ADVOCATE LUTHERAN GENERAL HOSPITAL
	Legal business name of hospital where individual professional provides service 1
Hospital Affiliation CCN 2	140010
	Medicare CCN of hospital where individual professional provides service 2
Hospital Affiliation LBN 2	NORTHSHORE UNIVERSITY HEALTHSYSTEM - EVANSTON HOSPITAL
	Legal business name of hospital where individual professional provides service 2
Hospital Affiliation CCN 3	140080
	Medicare CCN of hospital where individual professional provides service 3
Hospital Affiliation LBN 3	PRESENCE SAINT FRANCIS HOSPITAL
	Legal business name of hospital where individual professional provides service 3
Professional Accepts Medicare Assignment	Y