Individual
CHRISTINE E RUDOLPH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
5225 OLD ORCHARD RD STE 17, SKOKIE, IL 60077-1027
(847) 271-6840
Mailing address
547 MEADOWVIEW DR, WAUCONDA, IL 60084-2382
(847) 409-3864
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
2227285
IL
Other
Enumeration date
02/16/2020
Last updated
02/16/2020
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