Physician Compare National (NPI:1922062694)

HEALTHCARE PROVIDER: SHAHNAZ AZAD 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	1922062694
	Unique healthcare provider (clinician) ID assigned by NPPES
PECOS UID	0345370193
	Unique individual clinician ID assigned by PECOS
Professional Enrollment ID	I20100604001088
	Unique ID for the individual professional enrollment that is the source for the data in the observation
Provider Last Name	AZAD
	Individual professional last name
Provider First Name	SHAHNAZ
	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	1993
	Individual professional's medical school graduation year
Primary Specialty	INFECTIOUS DISEASE
	Primary medical specialty reported by the individual professional in the selected enrollment
Secondary Specialty 1	INTERNAL MEDICINE
	First secondary medical specialty reported by the individual professional in the selected enrollment
All Secondary Specialties	INTERNAL MEDICINE
	All four secondary specialties reported by the individual professional in the selected enrollment, separated by commas

Practice Information
Line 1 Street Address	3800 W 203RD ST
	Group Practice or individual's line 1 address
Line 2 Street Address	SUITE 201
	Group Practice or individual's line 2 address
City	OLYMPIA FIELDS
	Group Practice or individual's city
State	IL
	Group Practice or individual's state
Zip Code	604611185
	Group Practice or individual's zip code (9 digits when available)

Hospital(s) Affiliation Information
Hospital Affiliation CCN 1	140172
	Medicare CCN of hospital where individual professional provides service 1
Hospital Affiliation LBN 1	FRANCISCAN HEALTH OLYMPIA & CHICAGO HEIGHTS
	Legal business name of hospital where individual professional provides service 1
Professional Accepts Medicare Assignment	Y