Individual
KONSTANTINOS D KOSTAS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PHD
Contact information
Practice address
4501 N WINCHESTER AVE, 2ND FL, CHICAGO, IL 60640
(773) 250-0500
(773) 250-0497
Mailing address
4501 N WINCHESTER AVE, 3RD FL, CHICAGO, IL 60640
(773) 250-0500
(773) 250-0497
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
071005172
IL
Other
Enumeration date
03/15/2006
Last updated
04/08/2021
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