MR. Costa Provis, L.C.P.C. is a professional counselor in Chicago, IL. MR. Costa Provis, L.C.P.C. NPI is 1679767826. The provider is registered as an individual entity type.
The NPPES NPI record indicates the provider is a male.
The provider's business location address is:
444 N MICHIGAN AVE
CHICAGO, IL
ZIP 60611-903
Phone: (847) 529-8607
The enumeration date for this NPI number is 8/30/2007 and was last updated on 8/30/2007.