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Dr. Agnes Katherine Costello, MD
Child & Adolescent Psychiatry Physician in Winfield, Illinois
NPI 1770748865

Agnes Katherine Costello is a Child & Adolescent Psychiatry Physician based in Winfield, IL and is specialized in Child & Adolescent Psychiatry. Agnes Katherine Costello practices in Winfield, IL and has the professional credentials of MD. The NPI Number for Agnes Katherine Costello is 1770748865 and holds a License No. 036117700 (Illinois).

The current practice location address for Agnes Katherine Costello is 25 N Winfield Rd, Winfield, IL and can be reached out via phone at 630-933-6631 and via fax at 630-933-4936.

Location: 25 N Winfield Rd, Winfield, IL, 60190-1295
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1770748865
Provider Name
Agnes Katherine Costello
Credential
MD
Provider Entity Type
Individual
Gender
Female
Address
25 N Winfield Rd, Winfield, IL, 60190-1295
Phone Number
630-933-6631
Fax Number
630-933-4936
Provider Enumeration Date
07/28/2008
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
036117700 05 IL
206147 01 IL MEDICARE (GROUP)
206147218 01 IL MEDICARE PTAN (INDIVIDUAL)
institution
Provider Business Practice Location Address Details
Address
25 N Winfield Rd
City
Winfield
State
Illinois
Zip
60190-1295
Phone Number
630-933-6631
Fax Number
630-933-4936
person
Provider Business Mailing Address Details
Address
25 N Winfield Rd
City
Winfield
State
Illinois
Zip
60190-1295
Phone Number
630-933-6631
Fax Number
630-933-4936
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Psychiatry & Neurology
Speciality
Child & Adolescent Psychiatry
Taxonomy
2084P0804X
License No.
036117700 (Illinois)
Definition
Child & Adolescent Psychiatry is a subspecialty of psychiatry with additional skills and training in the diagnosis and treatment of developmental, behavioral, emotional, and mental disorders of childhood and adolescence.
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