Individual provider · Type 1 NPI
Susan Marie Costello, APRN
Psychiatric/Mental Health Nurse Practitioner · Western Springs, IL
NPI number
1417704362
Active
Practice location
4471 Lawn Ave Ste 202
Western Springs, IL 60558-1765
Mailing address
11252 S Saint Louis Ave
Chicago, IL 60655-3536
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Psychiatric/Mental Health Nurse Practitioner Primary | 363LP0808X | 209.0257534 (IL) |
Psychiatric/Mental Health Nurse Practitioner: Definition to come...
5 other providers at this address
- Elizabeth A. Cappelli, LPCProfessional Counselor Western Springs, IL NPI 1669172052
- Elyse Aurora GardunioProfessional Counselor Western Springs, IL NPI 1760324313
- George Anthony Totleben Jr., LCPCProfessional Counselor Western Springs, IL NPI 1730544248
- Kendra S. Caple, MS, NCCProfessional Counselor Western Springs, IL NPI 1740761477
- Robert Karcher, MA, LPCMental Health Counselor Western Springs, IL NPI 1831068733
About NPI 1417704362
Susan Marie Costello, APRN's National Provider Identifier is 1417704362, issued on Apr 30, 2024. The primary taxonomy on file is Psychiatric/Mental Health Nurse Practitioner (363LP0808X), and the practice location is in Western Springs, IL. The record was last updated on Apr 30, 2024.