Costello, Ellen Marie
Costello, Ellen Marie is an individual health care provider with primary practice located at 14680 S La Grange Rd , Orland Park IL 60462-2510. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Costello, Ellen Marie can be contacted via phone (800) 323-8622.Contact Information
Primary practice address
14680 S La Grange Rd
Orland Park IL 60462-2510
Phone: (800) 323-8622
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Family | 363LF0000X | 209007696 | Illinois |
Profile Details
| NPI number | 1184951246 |
|---|---|
| LBN Legal business name | Costello, Ellen Marie |
| Credentials | Advanced Practice Nurse (APN) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Nov 11th, 2009 |
| Last updated | Jun 6th, 2022 - about 3 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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