Individual
DR. JAMES PATRICK COSTELLO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
3223 LAKE AVE STE 14C, WILMETTE, IL 60091-1069
(847) 256-8100
(847) 256-8102
Mailing address
3217 LAKE AVE, WILMETTE, IL 60091-1069
(847) 256-8100
(847) 256-8102
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
046007707
IL
152WC0802X
Corneal and Contact Management Optometrist
046007707
IL
152WP0200X
Pediatric Optometrist
046007707
IL
152WS0006X
Sports Vision Optometrist
046007707
IL
152WV0400X
Vision Therapy Optometrist
046007707
IL
152WX0102X
Occupational Vision Optometrist
046007707
IL
Other
Enumeration date
09/16/2006
Last updated
07/20/2021
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