Individual
DR. TARA RENEE COSTIGAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PSY.D.
Contact information
Practice address
3001 GREEN BAY RD BLDG 11, NORTH CHICAGO, IL 60064-3048
(224) 610-4680
Mailing address
439 SWALLOW LN, DEERFIELD, IL 60015-3694
(239) 810-0906
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
071.022500
IL
Other
Enumeration date
01/26/2024
Last updated
12/30/2025
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