Individual
DR. NICHOLAS ANDREW COSTAKIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PSY. D.
Contact information
Practice address
2948 ARTESIAN RD, SUITE 112, NAPERVILLE, IL 60564-8558
(630) 428-7890
Mailing address
2948 ARTESIAN RD, SUITE 112, NAPERVILLE, IL 60564-8558
(630) 428-7890
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
071008556
IL
Other
Enumeration date
03/26/2013
Last updated
03/26/2013
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