Search › Illinois › 1041C0700X
Mary Costello, LCSW
NPI 1639372204 · on the registry since 2007 · sole proprietor
Practice
- Address
- 5317 N Clark St Fl 2
Chicago, IL 60640 - Phone
- (773) 506-1401
- Fax
- (773) 506-1403
- Clinicians at this address
- 2
Additional practice sites
- 5209 N Clark St, Chicago, IL
Registry record
- Primary taxonomy
- 1041C0700X
1041C0700X
- Licence states on file
- IL
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2018-12-05
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