Healthcare Provider Details

I. General information

NPI: 1962699579
Provider Name (Legal Business Name): RHONDA KAY KOTARINOS DPT
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/27/2007
Last Update Date: 05/20/2015
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1 TRANSAM PLAZA DR SUITE 170
OAKBROOK TERRACE IL
60181-4822
US

IV. Provider business mailing address

1 TRANSAM PLAZA DR SUITE 170
OAKBROOK TERRACE IL
60181-4822
US

V. Phone/Fax

Practice location:
  • Phone: 630-620-0232
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code174400000X
TaxonomySpecialist
License Number070-1883
License Number StateIL
# 2
Primary TaxonomyY
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License NumberPT6646
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: