Costello, Colleen

Costello, Colleen is an individual health care provider with primary practice located at 350 N Wall St , Kankakee IL 60901-2901. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, Physician Assistants & Advanced Practice Nursing Providers / Family. Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner is her primary health care specialty. Costello, Colleen can be contacted via phone (815) 933-1671.

Contact Information

Primary practice address
350 N Wall St Kankakee IL 60901-2901
Phone: (815) 933-1671
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X 71009869A Indiana
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 209014187 Illinois
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X 209-014187 Illinois

Profile Details

NPI number 1780048561
LBN Legal business name Costello, Colleen
Credentials FNP-BC
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 7th, 2016
Last updated Jan 4th, 2022 - about 2 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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