Individual
ILEANA COSTESCU
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1112 LINCOLNSHIRE DR, CHAMPAIGN, IL 61821-5606
(217) 355-1697
Mailing address
1113 FAIRVIEW AVE, URBANA, IL 61801-1507
(217) 721-8529
Taxonomy
Speciality
Code
Description
License number
State
225C00000X
Rehabilitation Counselor
Primary
—
—
Other
Enumeration date
01/18/2008
Last updated
01/18/2008
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