Individual
GIFTY P KOLLIE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
23917 W ROBERT AVE, PLAINFIELD, IL 60544-3161
(815) 656-7827
Mailing address
197 YUMA LN, CAROL STREAM, IL 60188-1979
(815) 656-7827
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
RBT24394685
IL
Other
Enumeration date
12/30/2025
Last updated
12/30/2025
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