Rebecca Kwaan, M.D.

Primary specialty

General Practice PhysicianTaxonomy code 208D00000X

License

A128424 Issued in CA

Practice address

1322 S Prairie Ave Unit 807
Chicago, IL 60605-3072

Phone

(650) 313-0266

NPI assigned

Jun 8, 2012

Last updated

Jun 12, 2023By the provider in NPPES

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Medicine

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1339113600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1686528000000",
    "number": "1912269739",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1322 S PRAIRIE AVE UNIT 807",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606053072"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1322 S PRAIRIE AVE UNIT 807",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606053072",
            "telephone_number": "650-313-0266"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KWAAN",
        "first_name": "REBECCA",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-06-08",
        "last_updated": "2023-06-12",
        "certification_date": "2023-06-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "A128424",
            "primary": false
        },
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "CA",
            "license": "A128424",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Steven Allen Kvaal, PHD
• William Thomas Kvasnicka, P.A.-C
• Rachael Kvasnik
• Stacy Noel Kvet, PSYD
• Hau Kwaan, MD
• Melissa Kwafo
• Ju Young Kwag
• Alex L Kwait, LCSW
• Dae T Kwak, M.D.
• Daniel Kwak, MD

• General Practice Physician in Chicago, IL
• Providers in Chicago, IL by specialty
• General Practice Physician in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 12, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.