Provider Demographics
NPI:1003164336
Name:R.G.U.S., INC.
Entity Type:Organization
Organization Name:R.G.U.S., INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:GENE
Authorized Official - Middle Name:
Authorized Official - Last Name:SHKLOVSKY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:847-291-8404
Mailing Address - Street 1:3340 DUNDEE RD
Mailing Address - Street 2:SUITE #2C2-5
Mailing Address - City:NORTHBROOK
Mailing Address - State:IL
Mailing Address - Zip Code:60062-2324
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:3340 DUNDEE RD
Practice Address - Street 2:SUITE #2C2-5
Practice Address - City:NORTHBROOK
Practice Address - State:IL
Practice Address - Zip Code:60062-2324
Practice Address - Country:US
Practice Address - Phone:847-291-8404
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-08-16
Last Update Date:2012-08-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL3000161253Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care
Provider Identifiers
StateIdentifier IDID TypeIssuer
IL=========912Medicaid
IL=========902Medicaid
IL=========913Medicaid