Individual
REBECCA ELIZABETH KHOLODOVSKY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1790 NATIONS DR, GURNEE, IL 60031-9164
(847) 691-5244
Mailing address
433 FARNSWORTH CIR, PORT BARRINGTON, IL 60010-1079
(847) 691-5244
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
02/13/2025
Last updated
02/13/2025
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