Provider Demographics
NPI:1447582051
Name:RGK PHYSICAL THERAPY SERVICES INC
Entity Type:Organization
Organization Name:RGK PHYSICAL THERAPY SERVICES INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:KENNETH
Authorized Official - Middle Name:
Authorized Official - Last Name:VILLAMAR
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:224-402-0124
Mailing Address - Street 1:129 WHITE OAK CT
Mailing Address - Street 2:8
Mailing Address - City:SCHAUMBURG
Mailing Address - State:IL
Mailing Address - Zip Code:60195-5413
Mailing Address - Country:US
Mailing Address - Phone:224-402-0124
Mailing Address - Fax:
Practice Address - Street 1:129 WHITE OAK CT
Practice Address - Street 2:8
Practice Address - City:SCHAUMBURG
Practice Address - State:IL
Practice Address - Zip Code:60195-5413
Practice Address - Country:US
Practice Address - Phone:224-402-0124
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-02-06
Last Update Date:2010-02-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QP2000XAmbulatory Health Care FacilitiesClinic/CenterPhysical Therapy