Kostiv, Tetyana

Kostiv, Tetyana is an sole proprietor health care provider with primary practice located at 300 Anthony Ave Unit 202 , Mundelein IL 60060-2451. She recently has only one registered license in Chiropractic Providers / Occupational Health, which is considered as her primary health care specialty. Kostiv, Tetyana can be contacted via phone (224) 628-0189.

Contact Information

Primary practice address
300 Anthony Ave Unit 202 Mundelein IL 60060-2451
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Chiropractic Providers / Occupational Health 111NX0100X 227.001585 Illinois

Profile Details

NPI number 1376943639
LBN Legal business name Kostiv, Tetyana
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Aug 23rd, 2014
Last updated Aug 23rd, 2014 - about 10 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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Identifiers

StateTypeNumberIssuer
All States NPI 1376943639 NPPES
Illinois Other 227.001585 LICENSED MASSAGE THERAPIST

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