Costello, Ruth Irene

Costello, Ruth Irene is an individual health care provider with primary practice located at 3010 Grand Ave , Waukegan IL 60085-2321. She recently has only one registered license in Behavioral Health & Social Service Providers / Professional, which is considered as her primary health care specialty. Costello, Ruth Irene can be contacted via phone (847) 377-8266.

Contact Information

Primary practice address
3010 Grand Ave Waukegan IL 60085-2321
Phone: (847) 377-8266
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Professional 101YP2500X 180-000794 Illinois

Profile Details

NPI number 1164702858
LBN Legal business name Costello, Ruth Irene
Credentials M.S.
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 25th, 2011
Last updated Aug 25th, 2011 - about 14 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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