Individual
CATHARINE COSTELLO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTRL
Contact information
Practice address
3145 W PRATT BLVD, CHICAGO, IL 60645-4125
(773) 761-4550
(773) 761-6426
Mailing address
3145 W PRATT BLVD, CHICAGO, IL 60645-4125
(773) 761-4550
(773) 761-6426
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
—
IL
Other
Enumeration date
03/28/2007
Last updated
07/08/2007
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