Costello, Jennifer

Costello, Jennifer is an sole proprietor health care provider with primary practice located at 6601 North Ave , Oak Park IL 60302. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Clinical, Dietary & Nutritional Service Providers / Dietitian, Registered. Behavioral Health & Social Service Providers / Clinical is her primary health care specialty. Costello, Jennifer can be contacted via phone (708) 831-2122.

Contact Information

Primary practice address
6601 North Ave Oak Park IL 60302
Phone: (708) 831-2122
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 1041C0700X L6842 Oregon
Behavioral Health & Social Service Providers / Clinical 1041C0700X CW018565 Pennsylvania
Dietary & Nutritional Service Providers / Dietitian, Registered 133V00000X LDD10176233 Oregon
Behavioral Health & Social Service Providers / Clinical 1041C0700X 149020773 Illinois

Profile Details

NPI number 1659798205
LBN Legal business name Costello, Jennifer
Credentials LCSW, RD
Entity Individual
Sole proprietor 1 Yes
Enumeration date Mar 20th, 2014
Last updated Jul 21st, 2022 - about 4 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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