Rebecca Elizabeth Kholodovsky

Primary specialty

CounselorTaxonomy code 101Y00000X

Practice address

1790 Nations Dr
Gurnee, IL 60031-9164

Phone

(847) 691-5244

NPI assigned

Feb 13, 2025

Last updated

Feb 13, 2025By the provider in NPPES

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1739404800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1739404800000",
    "number": "1164227336",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "433 FARNSWORTH CIR",
            "city": "PORT BARRINGTON",
            "state": "IL",
            "postal_code": "600101079",
            "telephone_number": "847-691-5244"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1790 NATIONS DR",
            "city": "GURNEE",
            "state": "IL",
            "postal_code": "600319164",
            "telephone_number": "847-691-5244"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KHOLODOVSKY",
        "first_name": "REBECCA",
        "middle_name": "ELIZABETH",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-02-13",
        "last_updated": "2025-02-13",
        "certification_date": "2025-02-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Raza M Khan, M.D
• Saira Khan, LCPC, CADC, CTTS,NCC
• Sanober Khan, OD
• Shahreq Ali Khan, BACHELOR OF SCIENCE
• Rakhi Khanna, D.O
• Tina Khoury, DMD
• Stephanie Kim, LSW
• Patricia K Kimbel, PSY.D.
• Teericka Kimbrough, LCSW
• Kindred Life Ministries Inc

• Counselor in Gurnee, IL
• Providers in Gurnee, IL by specialty
• Counselor in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 13, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.