person
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. You can also correspond with Agnes Katherine Costello through the mailing address at 25 N WINFIELD RD, WINFIELD, IL - 60190-1295 (mailing address contact number: 630-933-6631).

Location: 25 N Winfield Rd, Winfield, IL, 60190-1295
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
State
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
State
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
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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