Individual
DR. HEATHER HELENE COSTELLO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
2650 RIDGE AVE, EVANSTON, IL 60201-1718
(847) 570-2114
Mailing address
2050 CLAIRE CT, GLENVIEW, IL 60025-7635
(847) 570-2114
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
036122460
IL
207PH0002X
Hospice and Palliative Medicine (Emergency Medicine) Physician
Primary
036122460
IL
Other
Enumeration date
08/04/2008
Last updated
10/09/2024
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