| Colleen Costello, FNP-BC | |
|
350 N Wall St, Kankakee, IL 60901-2901 | |
| (815) 933-1671 | |
| Not Available |
| Full Name | Colleen Costello |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner |
| Location | 350 N Wall St, Kankakee, Illinois |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1780048561 | NPI | - | NPPES |
| Entity Name | Epmg Of Illinois Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1528098902 PECOS PAC ID: 1254225345 Enrollment ID: O20040210000751 |
| Mailing Address | Practice Location Address |
|---|---|
| Colleen Costello, FNP-BC 2000 Green Rd, Suite 300, Ann Arbor, MI 48105-1598 Ph: (734) 686-6362 | Colleen Costello, FNP-BC 350 N Wall St, Kankakee, IL 60901-2901 Ph: (815) 933-1671 |
Ms. Katherine Marie Leclear, APRN Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 350 N Wall St, Kankakee, IL 60901 Phone: 815-933-1671 | |
Judith D Magdziarz, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1701 E Court St, Kankakee, IL 60901 Phone: 815-935-9395 Fax: 815-935-1187 | |
Tracey Samantha Peachey, FNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 401 N Wall St Ste 102, Kankakee, IL 60901 Phone: 815-928-5090 Fax: 815-928-5079 | |
Kendra G Hansen, ANP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 500 N Wall St, Kankakee, IL 60901 Phone: 844-404-4787 Fax: 815-936-3243 | |
Jolene T Maass, APN Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 500 W Court St, Kankakee, IL 60901 Phone: 815-937-2200 Fax: 815-937-2258 | |
Brianna C Neal, APRN Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 70 Meadowview Ctr Ste 300, Kankakee, IL 60901 Phone: 815-802-0022 Fax: 815-802-0011 | |
Rebecca Leonhardt, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 550 W. Court Street, Kankakee, IL 60468 Phone: 815-937-2200 Fax: 815-937-2258 |