Physician Compare National (NPI:1922057371)

HEALTHCARE PROVIDER: AZHAR ASLAM 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	1922057371
	Unique healthcare provider (clinician) ID assigned by NPPES
PECOS UID	3072514561
	Unique individual clinician ID assigned by PECOS
Professional Enrollment ID	I20070126000006
	Unique ID for the individual professional enrollment that is the source for the data in the observation
Provider Last Name	ASLAM
	Individual professional last name
Provider First Name	AZHAR
	Individual professional first name
Provider Gender	M
	The provider's gender if the provider is a person.
Provider Credential Text	MD
	The abbreviations for professional degrees or credentials used or held by the provider, if the provider is an individual. Examples are MD, DDS, CSW, CNA, AA, NP, RNA, or PSY. These credential designations will not be verified by NPS.

Medical School Information
Medical School Name	OTHER
	Individual professional's medical school
Graduation Year	1968
	Individual professional's medical school graduation year
Primary Specialty	OTOLARYNGOLOGY
	Primary medical specialty reported by the individual professional in the selected enrollment

Practice Information
Line 1 Street Address	1770 E LAKE SHORE DR
	Group Practice or individual's line 1 address
Line 2 Street Address	SUITE 103
	Group Practice or individual's line 2 address
City	DECATUR
	Group Practice or individual's city
State	IL
	Group Practice or individual's state
Zip Code	625213819
	Group Practice or individual's zip code (9 digits when available)

Hospital(s) Affiliation Information
Hospital Affiliation CCN 1	140166
	Medicare CCN of hospital where individual professional provides service 1
Hospital Affiliation LBN 1	ST MARYS HOSPITAL
	Legal business name of hospital where individual professional provides service 1
Hospital Affiliation CCN 2	140135
	Medicare CCN of hospital where individual professional provides service 2
Hospital Affiliation LBN 2	DECATUR MEMORIAL HOSPITAL
	Legal business name of hospital where individual professional provides service 2
Hospital Affiliation CCN 3	141303
	Medicare CCN of hospital where individual professional provides service 3
Hospital Affiliation LBN 3	WARNER HOSPITAL AND HEALTH SERVICES
	Legal business name of hospital where individual professional provides service 3
Professional Accepts Medicare Assignment	Y