Costello, Christine T.

Costello, Christine T. is an sole proprietor health care provider with primary practice located at 708 Church St Suite 219, Evanston IL 60201-3875. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Clinical, Behavioral Health & Social Service Providers / Clinical Child & Adolescent. Behavioral Health & Social Service Providers / Clinical is her primary health care specialty. Costello, Christine T. can be contacted via phone (847) 864-6266.

Contact Information

Primary practice address
708 Church St Suite 219 Evanston IL 60201-3875
Phone: (847) 864-6266
Fax: (847) 864-9633
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 103TC0700X Illinois
Behavioral Health & Social Service Providers / Clinical Child & Adolescent 103TC2200X Illinois

Profile Details

NPI number 1346360393
LBN Legal business name Costello, Christine T.
Credentials PHD
Entity Individual
Sole proprietor 1 Yes
Enumeration date Mar 30th, 2007
Last updated Jul 8th, 2007 - about 19 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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