Physician Compare National (NPI:1912169822)

HEALTHCARE PROVIDER: CORDUS RAYMOND EASINGTON 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	1912169822
	Unique healthcare provider (clinician) ID assigned by NPPES
PECOS UID	9335320688
	Unique individual clinician ID assigned by PECOS
Professional Enrollment ID	I20120307000830
	Unique ID for the individual professional enrollment that is the source for the data in the observation
Provider Last Name	EASINGTON
	Individual professional last name
Provider First Name	CORDUS
	Individual professional first name
Provider Gender	M
	The provider's gender if the provider is a person.

Medical School Information
Medical School Name	UNIVERSITY OF ILLINOIS COLLEGE OF MED (CHI/PEOR/ROCK/CHM-URB)
	Individual professional's medical school
Graduation Year	2010
	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
Organization Legal Name	CGH MEDICAL CENTER
	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	6103723267
	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	168
	Total number of individual professionals affiliated with the Group Practice based on Group Practice PAC ID
Line 1 Street Address	1809 LOCUST ST
	Group Practice or individual's line 1 address
City	STERLING
	Group Practice or individual's city
State	IL
	Group Practice or individual's state
Zip Code	610811101
	Group Practice or individual's zip code (9 digits when available)

Hospital(s) Affiliation Information
Hospital Affiliation CCN 1	140043
	Medicare CCN of hospital where individual professional provides service 1
Hospital Affiliation LBN 1	CGH MEDICAL CENTER
	Legal business name of hospital where individual professional provides service 1
Professional Accepts Medicare Assignment	Y