Kathleen M Kostock, LCSW is a
Social Worker - Clinical based in Beach Park, Illinois. Kathleen M Kostock is licensed to practice in Illinois (license number 149001172) and her current practice location is
37512 N North Ave, Beach Park, Illinois. She can be reached at her office (for appointments etc.) via phone at
(312) 590-8801.
NPI number for Kathleen M Kostock is 1598784431 and her current mailing address is 37512 N North Ave, Beach Park, Illinois. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1598784431.
Healthcare Provider's Profile
| Full Name | Kathleen M Kostock |
|---|
| Gender | Female |
|---|
| Speciality | Social Worker - Clinical |
|---|
| Location | 37512 N North Ave, Beach Park, Illinois |
|---|
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1598784431
- Provider Enumeration Date: 07/19/2006
- Last Update Date: 07/13/2016
Medical Identifiers
Medical identifiers for Kathleen M Kostock such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1598784431 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 1041C0700X | Social Worker - Clinical | 149001172 (Illinois) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Kathleen M Kostock is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
Kathleen M Kostock, LCSW 37512 N North Ave, Beach Park, IL 60087-2345 Ph: (312) 590-8801 | Kathleen M Kostock, LCSW 37512 N North Ave, Beach Park, IL 60087-2345 Ph: (312) 590-8801 |
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