Healthcare Provider Details

I. General information

NPI: 1457287831
Provider Name (Legal Business Name): RACHEL KOGUT PT, DPT
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 06/22/2026
Last Update Date: 06/22/2026
Certification Date: 06/22/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

10 E ONTARIO ST
CHICAGO IL
60611-2736
US

IV. Provider business mailing address

10 E ONTARIO ST
CHICAGO IL
60611-2736
US

V. Phone/Fax

Practice location:
  • Phone: 847-212-0009
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License Number
License Number StateIL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: