Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207X00000X | Orthopaedic Surgeon | 036-118789 | IL |
N | 207X00000X | Orthopaedic Surgeon | M5309 | TX |
Y | 207XS0117X | Orthopaedic Spine Surgeon | 036-118789 | IL |
N | 207XS0117X | Orthopaedic Spine Surgeon | M5309 | TX |
NPI | 1306908231 |
---|---|
Provider Name | Dr. Rebecca Chin Kuo |
First Address | Joliet, IL 60435 |
Second Address | Joliet, IL 60435 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 15/12/2006 |
Last Update Date | 26/04/2021 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
036118789 | (05) | IL |
0739010001 | MEDICARE NSC (01) | IL |
0739010005 | MEDICARE NSC (01) | IL |
0739010006 | MEDICARE NSC (01) | IL |
0739010008 | MEDICARE NSC (01) | IL |
208887 | MEDICARE LOCALITY 15 (01) | IL |
3200053 | BCBS (01) | IL |
370830 | MEDICARE LOCALITY 99 (01) | IL |
CL7476 | MEDICARE-RAILROAD GROUP# (01) | IL |
P00431885 | MEDICARE-RAILROAD (01) | IL |