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Contact Information

JENNIFER COSTELLO, LCSW, RD
6601 NORTH AVE
OAK PARK, IL60302
 Phone: 708-831-2122
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Clinical

1041C0700X 80 Licensed Clinical Social Worker
 

Dietitian, Registered

133V00000X 71 Registered Dietitian or Nutrition Professional
Indicates primary specialty

NPI Profile & details for JENNIFER COSTELLO · (Female)

NPI Number 1659798205
Status Active
Credentials LCSW, RD
Entity Individual
Enumeration date 03/20/2014
Last updated 07/21/2022 - About 4 years ago
Sole proprietor 1 Yes
Identifiers
  • IL License # 149020773
  • OR License # L6842
  • OR License # LDD10176233
  • PA License # CW018565
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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