Individual
ANITA MARIE COSTABILE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1215 W FULLERTON AVE, ADDISON, IL 60101-4305
(630) 372-2565
Mailing address
1215 W FULLERTON AVE, ADDISON, IL 60101-4305
(630) 372-2565
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
146007399
IL
Other
Enumeration date
11/29/2006
Last updated
09/26/2013
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