Organization
MELISSA S KOSTIAL-JANOS P.C.
Active
Other names
Melissa S Kostial-Janos LCSW ACSW
Organization subpart
No
Provider details
NPI number
Authorized official
MELISSA SUSAN KOSTIAL-JANOS LCSW ACSW (PRESIDENT/ OWNER)
(224) 603-1199
Entity
Organization
Contact information
Practice address
135 N GREENLEAF ST, STE 228, GURNEE, IL 60031-3393
(224) 603-1199
Mailing address
1191 BLUE HERON CIR, ANTIOCH, IL 60002-6403
(708) 308-3938
Taxonomy
Speciality
Code
Description
License number
State
261QM0850X
Adult Mental Health Clinic/Center
Primary
149001506
IL
Other
Enumeration date
09/02/2015
Last updated
09/02/2015
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