# VILLAGEMD KENTUCKY, PSC

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1104348622
- **Authorized official:** WENDY LEE RUBAS (GENERAL COUNSEL)
- **Authorized official phone:** (312) 465-7898

## Contact information

- **Practice address:** 1000 S 12TH ST, MURRAY, KY 42071
- **Practice address phone:** (270) 759-9200
- **Practice address fax:** (270) 759-8368
- **Mailing address:** 125 S CLARK ST STE 900, CHICAGO, IL 60603-5200
- **Mailing address phone:** (312) 465-7900

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | TP057 | KY | Yes |
| 207RE0101X | Endocrinology, Diabetes & Metabolism Physician | TP057 | KY | — |
| 225100000X | Physical Therapist | TP057 | KY | — |

## Other

- **Enumeration date:** 07/17/2017
- **Last updated:** 05/17/2018