Costello, Dawn M

Costello, Dawn M is an sole proprietor health care provider with primary practice located at 765 Ela Rd Ste. 105, Lake Zurich IL 60047-2385. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Massage Therapist, which is considered as her primary health care specialty. Costello, Dawn M can be contacted via phone (847) 550-1115.

Contact Information

Primary practice address
765 Ela Rd Ste. 105 Lake Zurich IL 60047-2385
Phone: (847) 550-1115
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Massage Therapist 225700000X 227012961 Illinois

Profile Details

NPI number 1700173549
LBN Legal business name Costello, Dawn M
Credentials LMT
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jun 30th, 2011
Last updated Jun 30th, 2011 - about 15 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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