MICHELLE A COSTELLO LCSW, PLLC is a mental health (including community mental health center) clinic center in Chicago, IL. MICHELLE A COSTELLO LCSW, PLLC NPI is 1871256453. The provider is registered as an organization entity type.
The provider's business location address is:
5215 N RAVENSWOOD AVE STE 214
CHICAGO, IL
ZIP 60640-670
Phone: (312) 476-9722
The provider's authorized official is Michelle Alyse Costello .
The authorized official title is Registered Agent and has the following contact phone number (312) 593-3553.
The enumeration date for this NPI number is 10/20/2021 and was last updated on 10/22/2021.