MEDICARE: RHONDA KOTARINOS PHYSICAL THERAPY, LTD.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	174400000X	Specialist	070-1883	IL

General Provider Information

NPI Number	:	1376558700
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	RHONDA KOTARINOS PHYSICAL THERAPY, LTD.

Provider Business Mailing Address
First Line	:	1 TRANSAM PLAZA DR
Second Line	:	SUITE 170
City	:	OAKBROOK TERRACE
State	:	IL
Zip	:	60181-4822
Country	:	US
Telephone Number	:	630-620-0232
Fax Number	:

Provider Business Practice Location Address
First Line	:	1 TRANSAM PLAZA DR
Second Line	:	SUITE 170
City	:	OAKBROOK TERRACE
State	:	IL
Zip	:	60181-4822
Country	:	US
Telephone Number	:	630-620-0232
Fax Number	:

Authorized Official
Title or Position	:	PRESIDENT
Name	:	DR. RHONDA KAY KOTARINOS
Credential	:	DPT
Telephone Number	:	630-620-0232

Provider Enumeration Date	:	07/31/2006
Last Update Date	:	01/16/2015

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