DataLabs
datalabs.health made in the usa
DataLabs Facebook Wall   Like   Follow DataLabs on Twitter   Tweet  
Contact us Sign in |  Documentation | 
NPI Code Detail

MEDICARE: COLLEEN MACK HOLTGREIVE RBT

MEDICARE: COLLEEN MACK HOLTGREIVE RBT
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1106S00000XBehavior Technician

General Provider Information

NPI Number : 1295667525
Entity Type Code : Individual
Provider Name (Legal Business Name) : COLLEEN MACK HOLTGREIVE RBT
Provider Business Mailing Address
First Line : 2421 S BONNIE BROOK LN
Second Line :
City : WAUKEGAN
State : IL
Zip : 60087-3719
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 105 N GREENLEAF ST STE B
Second Line :
City : GURNEE
State : IL
Zip : 60031-3326
Country : US
Telephone Number : 630-465-3963
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/01/2026
Last Update Date : 06/01/2026

Similar Medicare Providers

1407788706 — SARAH ROSE FRENCH-VILLARREAL
Practice Location Address:
105 N GREENLEAF ST
GURNEE, IL
60031-3326
Practice Phone: 847-604-0955
Practice Fax:
1124951306 — MISS LASHAWN C THOMAS
Practice Location Address:
105 N GREENLEAF ST STE B
GURNEE, IL
60031-3326
Practice Phone: 847-604-0955
Practice Fax:
1073504973 — ROGER BARRETT COLLINS MD
Practice Location Address:
105 N GREENLEAF ST
GURNEE, IL
60031-3326
Practice Phone: 847-623-3090
Practice Fax: 847-623-9620
1194716985 — JOHN GOTTFRIED MAYER MD
Practice Location Address:
105 N GREENLEAF ST
GURNEE, IL
60031-3326
Practice Phone: 847-623-3090
Practice Fax: 847-623-9620
1316993710 — MS. ILONA M SLOWINSKA PT
Practice Location Address:
105 N GREENLEAF ST
GURNEE, IL
60031-3326
Practice Phone: 847-263-8880
Practice Fax: 847-263-8885
1538277736 — GREENLEAF ORTHOPAEDIC ASSOCIATES, S.C.
Practice Location Address:
105 N GREENLEAF ST
GURNEE, IL
60031-3326
Practice Phone: 847-623-3090
Practice Fax: 847-623-9620

Directions to “ COLLEEN MACK HOLTGREIVE RBT” Practice Location

Language Start Address Practice Location
These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.