Search › Illinois › 101YP2500X
Kenneth Dalla Costa, LCPC
NPI 1265735120 · on the registry since 2010 · sole proprietor
Practice
- Address
- 15363 Tulip Ct
Orland Park, IL 60462 - Phone
- (847) 772-9289
Additional practice sites
- 13701 Lauerman St, Cedar Lake, IN
Registry record
- Primary taxonomy
- 101YP2500X
101YP2500X
- Licence states on file
- IL
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2022-07-21
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Illinois