Individual
IRENE MARIE COSTELLO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2423 GLENWOOD AVE, JOLIET, IL 60435-5483
(815) 725-9992
(815) 725-9993
Mailing address
2423 GLENWOOD AVE, JOLIET, IL 60435-5483
(815) 725-9992
(815) 725-9993
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
242001067
IL
Other
Enumeration date
11/07/2008
Last updated
11/07/2008
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