Look up the most recent NPI and PECOS records

Rong Xu

Internal Medicine

Allopathic & Osteopathic Physicians

15 S California Ave, Chicago, IL 60612-3640

PECOS Enrollment

Based on the most recent information from CMS, provider Rong Xu is legally eligible to order and refer claims for Part B, HHA, DME and PMD services.

Part B
Medicare Part B
Enrolled
HHA
Home Health Agency
Enrolled
DME
Durable Medical Equipment
Enrolled
PMD
Power Mobility Device
Enrolled

CMS last updated its PECOS records 2 days ago.

Profile Details

Provider ID
1992963243
Provider Type
Individual
Full Name
Xu, Rong
Gender
Female

Sole Proprietor
Yes
Enumeration Date
5/22/2008
Last Updated
7/2/2009

Contact Information

Practice Location

15 S California Ave, Chicago, IL 60612-3640

(773) 257-6552

Unlisted Fax

Mailing Location

6752 N Sauganash Ave, Apt 2b, Chicago, IL 60646-1543

Unlisted Phone

Unlisted Fax

Provider Taxonomies

Code	Description	License
Code 207R00000X Primary	Description Internal Medicine Allopathic & Osteopathic Physicians	License 036123417 Illinois
Code 207R00000X	Description Internal Medicine Allopathic & Osteopathic Physicians	License P21252 Maryland

Rong Xu

PECOS Enrollment

Profile Details

Contact Information

Practice Location

Mailing Location

Provider Taxonomies

Code

Description

License

Code

Description

License

Code

Description

License

Myers, Alyson Kemba

Kokocinski, Albene

John, Viju

Pawlowski, Thomas B

Maresky, Gideon

Alonto, Eileen Anne Vicaldo

Abu Homoud, Ahmad

Kishore, Suchita

Cuartas Mesa, Maria Cristina

Nanda, Kshitij