Search › Illinois › 111NX0100X
Tetyana Kostiv
NPI 1376943639 · on the registry since 2014 · sole proprietor
Practice
- Address
- 300 Anthony Ave Unit 202
Mundelein, IL 60060 - Phone
- (224) 628-0189
Registry record
- Primary taxonomy
- 111NX0100X
111NX0100X
- Licence states on file
- IL
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2014-08-23
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Illinois