Active NPI
Rebecca L Schock, CST
- Surgical Technologist
- Elgin, IL
National Provider Identifier
1710162250
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgical Technologist
- License
- 91124
- Practice address
- 915 Center St
Suite 1000
Elgin, IL 60120-2106 - Phone
- (847) 695-1620
- NPI assigned
- Jan 3, 2008
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Surgical Technologist | 246ZS0410X | 91124 | IL | Primary |
Addresses
Primary practice location
915 Center St
Suite 1000
Elgin, IL 60120-2106
Mailing address
915 Center St
Suite 1000
Elgin, IL 60120-2106
Phone (847) 695-1620
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1615971 | Other | IL | BLUE SHIELD |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 91124 | IL | MD | Surgical Technologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Cardiothoracic & Vascular Surgical Associates S C | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
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- Oak Lawn, IL
- NPI 1780679407
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1199318400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1199318400000",
"number": "1710162250",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "915 CENTER ST",
"address_2": "SUITE 1000",
"city": "ELGIN",
"state": "IL",
"postal_code": "601202106",
"telephone_number": "847-695-1620"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "915 CENTER ST",
"address_2": "SUITE 1000",
"city": "ELGIN",
"state": "IL",
"postal_code": "601202106",
"telephone_number": "847-695-1620"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SCHOCK",
"first_name": "REBECCA",
"middle_name": "L",
"name_prefix": "Ms.",
"credential": "CST",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-01-03",
"last_updated": "2008-01-03",
"status": "A"
},
"taxonomies": [
{
"code": "246ZS0410X",
"taxonomy_group": "",
"desc": "Specialist/Technologist, Other, Surgical Technologist",
"state": "IL",
"license": "91124",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE SHIELD",
"identifier": "1615971",
"state": "IL"
}
],
"endpoints": [],
"other_names": []
}Other providers in Elgin, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 3, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.