Costello, James Patrick
Costello, James Patrick is an sole proprietor health care provider with primary practice located at 3223 Lake Ave Ste 14C , Wilmette IL 60091-1069. He recently has 6 registered licenses in different health care specialties including Eye and Vision Services Providers / Corneal and Contact Management, Eye and Vision Services Providers / Pediatrics, Eye and Vision Services Providers / Sports Vision, Eye and Vision Services Providers / Vision Therapy, Eye and Vision Services Providers / Occupational Vision, Eye and Vision Services Providers / Optometrist. Eye and Vision Services Providers / Optometrist is his primary health care specialty. Costello, James Patrick can be contacted via phone (847) 256-8100.Contact Information
Primary practice address
3223 Lake Ave Ste 14C
Wilmette IL 60091-1069
Phone: (847) 256-8100
Fax: (847) 256-8102
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Eye and Vision Services Providers / Corneal and Contact Management | 152WC0802X | 046007707 | Illinois |
Eye and Vision Services Providers / Pediatrics | 152WP0200X | 046007707 | Illinois |
Eye and Vision Services Providers / Sports Vision | 152WS0006X | 046007707 | Illinois |
Eye and Vision Services Providers / Vision Therapy | 152WV0400X | 046007707 | Illinois |
Eye and Vision Services Providers / Occupational Vision | 152WX0102X | 046007707 | Illinois |
Eye and Vision Services Providers / Optometrist | 152W00000X | 046007707 | Illinois |
Profile Details
NPI number | 1740386887 |
---|---|
LBN Legal business name | Costello, James Patrick |
Credentials | Doctor of Optometry (OD) |
Entity | Individual |
Sole proprietor 1 | Yes |
Enumeration date | Sep 16th, 2006 |
Last updated | Jul 20th, 2021 - 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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