Sandra Costello, LCSW | |
459 Hill Ave, Glen Ellyn, IL 60137-5052 | |
(847) 363-6248 | |
Not Available |
Full Name | Sandra Costello |
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Gender | Female |
Speciality | Counselor - Mental Health |
Location | 459 Hill Ave, Glen Ellyn, Illinois |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
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1548952617 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YM0800X | Counselor - Mental Health | 149006908 (Illinois) | Primary |
Entity Name | Yusuf Salah, Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1982254850 PECOS PAC ID: 3577895176 Enrollment ID: O20191031001966 |
Mailing Address | Practice Location Address |
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Sandra Costello, LCSW 459 Hill Ave, Glen Ellyn, IL 60137-5052 Ph: (847) 363-6248 | Sandra Costello, LCSW 459 Hill Ave, Glen Ellyn, IL 60137-5052 Ph: (847) 363-6248 |
Clayton Berg, MA, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 800 Roosevelt Rd Bldg C, Glen Ellyn, IL 60137 Phone: 630-373-2529 | |
Michelle J Kim, Counselor Medicare: Not Enrolled in Medicare Practice Location: 499 Anthony St, Glen Ellyn, IL 60137 Phone: 877-506-2674 | |
Jennifer K Paterakis, M.S L.C.P.C Counselor Medicare: Not Enrolled in Medicare Practice Location: 516 N Main St Ste A, Glen Ellyn, IL 60137 Phone: 630-858-1075 Fax: 630-790-9984 | |
Ms. Carole S. Logalbo, LCPC Counselor Medicare: Medicare Enrolled Practice Location: 493 Forest Ave, Glen Ellyn, IL 60137 Phone: 630-469-1555 | |
Abia Hashmi, LCPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 800 Roosevelt Rd Ste 220, Glen Ellyn, IL 60137 Phone: 630-239-1784 Fax: 630-216-4818 | |
Diana Dimeo, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 45 S Park Blvd, Glen Ellyn, IL 60137 Phone: 708-769-1509 | |
Karine Ivy, LCPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 516 N Main St Ste C, Glen Ellyn, IL 60137 Phone: 630-220-6919 |