Physician Compare National (NPI:1891916383)

HEALTHCARE PROVIDER: SMAIN SADOK 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	1891916383
	Unique healthcare provider (clinician) ID assigned by NPPES
PECOS UID	8325132277
	Unique individual clinician ID assigned by PECOS
Professional Enrollment ID	I20070921000823
	Unique ID for the individual professional enrollment that is the source for the data in the observation
Provider Last Name	SADOK
	Individual professional last name
Provider First Name	SMAIN
	Individual professional first name
Provider Gender	M
	The provider's gender if the provider is a person.

Medical School Information
Medical School Name	OTHER
	Individual professional's medical school
Graduation Year	1988
	Individual professional's medical school graduation year
Primary Specialty	FAMILY MEDICINE
	Primary medical specialty reported by the individual professional in the selected enrollment

Practice Information
Line 1 Street Address	3844 W 63RD ST
	Group Practice or individual's line 1 address
City	CHICAGO
	Group Practice or individual's city
State	IL
	Group Practice or individual's state
Zip Code	606294624
	Group Practice or individual's zip code (9 digits when available)

Hospital(s) Affiliation Information
Hospital Affiliation CCN 1	140208
	Medicare CCN of hospital where individual professional provides service 1
Hospital Affiliation LBN 1	ADVOCATE CHRIST HOSPITAL & MEDICAL CENTER
	Legal business name of hospital where individual professional provides service 1
Hospital Affiliation CCN 2	140191
	Medicare CCN of hospital where individual professional provides service 2
Hospital Affiliation LBN 2	INGALLS MEMORIAL HOSPITAL
	Legal business name of hospital where individual professional provides service 2
Hospital Affiliation CCN 3	140179
	Medicare CCN of hospital where individual professional provides service 3
Hospital Affiliation LBN 3	LITTLE COMPANY OF MARY HOSPITAL
	Legal business name of hospital where individual professional provides service 3
Professional Accepts Medicare Assignment	Y