Provider Demographics
NPI:1417997057
Name:CHUA, KOK GEE (MD)
Entity Type:Individual
Prefix:DR
First Name:KOK
Middle Name:GEE
Last Name:CHUA
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:1256 WATERFORD DRIVE
Mailing Address - Street 2:SUITE 230
Mailing Address - City:AURORA
Mailing Address - State:IL
Mailing Address - Zip Code:60504
Mailing Address - Country:US
Mailing Address - Phone:630-499-2404
Mailing Address - Fax:630-499-2399
Practice Address - Street 1:1320 N HIGHLAND AVE
Practice Address - Street 2:SUITE A
Practice Address - City:AURORA
Practice Address - State:IL
Practice Address - Zip Code:60506-1403
Practice Address - Country:US
Practice Address - Phone:630-896-0659
Practice Address - Fax:630-896-0581
Is Sole Proprietor?:No
Enumeration Date:2006-06-08
Last Update Date:2017-07-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL036055932207RC0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RC0000XAllopathic & Osteopathic PhysiciansInternal MedicineCardiovascular Disease
Provider Identifiers
StateIdentifier IDID TypeIssuer
IL036055932Medicaid
IL060052783OtherRAILROAD MEDICARE
ILL61142Medicare ID - Type Unspecified
IL060052783OtherRAILROAD MEDICARE
ILK03779Medicare ID - Type Unspecified
IL060052783Medicare PIN
ILL76343Medicare ID - Type Unspecified