Dr. Agnes Katherine Costello is a Winfield, Illinois based psychiatrist who is specialized in Child & Adolescent. Active license number of Dr. Agnes Katherine Costello is 036117700 for Child & Adolescent in Illinois. Her current practice location is 25 N Winfield Rd, Winfield. Patients can reach her at 630-933-6631 or can fax her at 630-933-4936. Dr. Agnes Katherine Costello is M.D. in Child & Adolescent and her NPI number (Unique professional ID assigned by NPPES) is 1770748865. Dr. Agnes Katherine Costello has done additional skills and training in the diagnosis and treatment of developmental, behavioral, emotional, and mental disorders of childhood and adolescence.
Complete Profile:
Dr. Agnes Katherine Costello speciality, credentials, practice address, contact phone number and fax are as below.
Patients can call on the below given phone number for appointment.
Name:
Dr. Agnes Katherine Costello
Specialization:
Child & Adolescent
Gender:
Female
Credentials:
M.D.
Practice Address:
25 N Winfield Rd, Winfield, Illinois, 60190-1295
Phone:
630-933-6631
Fax:
630-933-4936
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details are as mentioned below.
NPI Number:
1770748865
NPI Enumeration Date:
28 Jul, 2008
NPI Last Update On:
02 Dec, 2013
Medical Licenses:
Doctors can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Dr. Agnes Katherine Costello are as mentioned below.
License Number
Specialization
State
Status
036117700
Child & Adolescent
Illinois
Primary
Other Medical Identifiers:
Other legacy medical identifiers associated with Dr. Agnes Katherine Costello such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
Identifier
Type
State
Issuer
036117700
Medicaid
Illinois
206147
Other
Illinois
MEDICARE (GROUP)
206147218
Other
Illinois
MEDICARE PTAN (INDIVIDUAL)
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
Address:
Dr. Agnes Katherine Costello 25 N Winfield Rd, Winfield, Illinois
Zip:
60190-1295
Phone Number:
630-933-6631
Fax Number:
630-933-4936
Patients can reach Dr. Agnes Katherine Costello at 25 N Winfield Rd, Winfield, Illinois or can call to book an appointment on 630-933-6631.
Comments/ Reviews:
*Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 11 November, 2024.