Provider Demographics
NPI:1306908231
Name:KUO, REBECCA CHIN (M D)
Entity type:Individual
Prefix:DR
First Name:REBECCA
Middle Name:CHIN
Last Name:KUO
Suffix:
Gender:F
Credentials:M D
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1445 ESSINGTON RD
Mailing Address - Street 2:
Mailing Address - City:JOLIET
Mailing Address - State:IL
Mailing Address - Zip Code:60435
Mailing Address - Country:US
Mailing Address - Phone:815-741-6900
Mailing Address - Fax:815-741-6907
Practice Address - Street 1:1445 ESSINGTON RD.
Practice Address - Street 2:
Practice Address - City:JOLIET
Practice Address - State:IL
Practice Address - Zip Code:60435
Practice Address - Country:US
Practice Address - Phone:815-741-6900
Practice Address - Fax:815-741-6907
Is Sole Proprietor?:No
Enumeration Date:2006-12-15
Last Update Date:2021-04-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL036-118789207XS0117X, 207X00000X
TXM5309207XS0117X, 207X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207XS0117XAllopathic & Osteopathic PhysiciansOrthopaedic SurgeryOrthopaedic Surgery of the Spine
No207X00000XAllopathic & Osteopathic PhysiciansOrthopaedic Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
IL0739010008OtherMEDICARE NSC
IL0739010005OtherMEDICARE NSC
IL036118789Medicaid
IL0739010006OtherMEDICARE NSC
ILP00431885OtherMEDICARE-RAILROAD
IL208887OtherMEDICARE LOCALITY 15
IL3200053OtherBCBS
IL370830OtherMEDICARE LOCALITY 99
IL0739010001OtherMEDICARE NSC
ILCL7476OtherMEDICARE-RAILROAD GROUP#
IL0739010008OtherMEDICARE NSC
IL3200053OtherBCBS