Costello, Nancy Irene

Costello, Nancy Irene is an individual health care provider with primary practice located at 8623 W Bryn Mawr Ave Suite 501, Chicago IL 60631-3501. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist, which is considered as her primary health care specialty. Costello, Nancy Irene can be contacted via phone (773) 693-2121.

Contact Information

Primary practice address
8623 W Bryn Mawr Ave Suite 501 Chicago IL 60631-3501
Phone: (773) 693-2121
Fax: (773) 693-7148
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist 225100000X Illinois

Profile Details

NPI number 1184690216
LBN Legal business name Costello, Nancy Irene
Credentials Physical Therapist (PT)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 28th, 2006
Last updated Jul 8th, 2007 - about 17 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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