Susan Marie Costello, APRN | |
4471 Lawn Ave Ste 202, Western Springs, IL 60558-1765 | |
(708) 428-7890 | |
Not Available |
Full Name | Susan Marie Costello |
---|---|
Gender | Female |
Speciality | Nurse Practitioner - Psychiatric/mental Health |
Location | 4471 Lawn Ave Ste 202, Western Springs, Illinois |
Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
Identifier | Type | State | Issuer |
---|---|---|---|
1417704362 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363LP0808X | Nurse Practitioner - Psychiatric/mental Health | 209.0257534 (Illinois) | Primary |
Mailing Address | Practice Location Address |
---|---|
Susan Marie Costello, APRN 11252 S Saint Louis Ave, Chicago, IL 60655-3536 Ph: (773) 946-7738 | Susan Marie Costello, APRN 4471 Lawn Ave Ste 202, Western Springs, IL 60558-1765 Ph: (708) 428-7890 |
Alyssa Goergen, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 4700 Gilbert Ave Ste 51, Western Springs, IL 60558 Phone: 708-387-1737 | |
Janis Noone, APN Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 4700 Gilbert Ave, Suite 52, 51, Western Springs, IL 60558 Phone: 708-387-1737 Fax: 708-794-8672 |