Healthcare Provider Details

I. General information

NPI: 1376558700
Provider Name (Legal Business Name): RHONDA KOTARINOS PHYSICAL THERAPY, LTD.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/31/2006
Last Update Date: 07/30/2026
Certification Date: 07/30/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

250 CENTER DRIVE SUITE 102
VERNON HILLS IL
60061
US

IV. Provider business mailing address

250 CENTER DRIVE SUITE 102
VERNON HILLS IL
60061
US

V. Phone/Fax

Practice location:
  • Phone: 630-620-0232
  • Fax: 630-620-0322
Mailing address:
  • Phone: 630-620-0232
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code174400000X
TaxonomySpecialist
License Number070-1883
License Number StateIL

VIII. Authorized Official

Name: DR. ELIZABETH ANNE KOTARINOS
Title or Position: PRESIDENT
Credential: PT
Phone: 630-620-0232