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Contact Information

TETYANA KOSTIV
300 ANTHONY AVE UNIT 202
MUNDELEIN, IL60060-2451
 Phone: 224-628-0189
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Occupational Health

111NX0100X 35 Chiropractic
Indicates primary specialty

NPI Profile & details for TETYANA KOSTIV · (Female)

NPI Number 1376943639
Status Active
Credentials
Entity Individual
Enumeration date 08/23/2014
Last updated 08/23/2014 - About 12 years ago
Sole proprietor 1 Yes
Identifiers
  • IL License # 227.001585
  • IL Other 227.001585 LICENSED MASSAGE THERAPIST
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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