| Dr Heather Helene Costello, MD | |
|
2650 Ridge Ave, Evanston, IL 60201-1718 | |
| (847) 570-2114 | |
| Not Available |
| Full Name | Dr Heather Helene Costello |
|---|---|
| Gender | Female |
| Speciality | Hospice/palliative Care |
| Experience | 20 Years |
| Location | 2650 Ridge Ave, Evanston, Illinois |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1245496819 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207PH0002X | Emergency Medicine - Hospice And Palliative Medicine | 036122460 (Illinois) | Primary |
| 207P00000X | Emergency Medicine | 036122460 (Illinois) | Secondary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Alexian Brothers Hospice | Hanover park, IL | Hospice |
| Rainbow Hospice And Palliative Care | Mount prospect, IL | Hospice |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Imagine Therapy Mindfulness Healing Pllc | 2264820067 | 3 |
| Entity Name | Journeycare, Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1154324994 PECOS PAC ID: 2062578305 Enrollment ID: O20090512000566 |
| Entity Name | Alexian Brothers Medical Group Specialty Care |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1275990061 PECOS PAC ID: 1456636612 Enrollment ID: O20170330001530 |
| Entity Name | Imagine Therapy Mindfulness Healing Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1669144218 PECOS PAC ID: 2264820067 Enrollment ID: O20211028000117 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Heather Helene Costello, MD 2050 Claire Ct, Glenview, IL 60025-7635 Ph: (847) 570-2114 | Dr Heather Helene Costello, MD 2650 Ridge Ave, Evanston, IL 60201-1718 Ph: (847) 570-2114 |
Michael T. Gillam, M.D. Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: 2650 Ridge Ave, Emergency Medicine Rm G909, Evanston, IL 60201 Phone: 847-570-2114 Fax: 847-570-1223 | |
Evan G Laskaris, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 2650 Ridge Ave, Division Of Emergency Medicine, Evanston, IL 60201 Phone: 847-570-2114 Fax: 847-570-1223 | |
Irene C. Yao, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 2650 Ridge Ave, Evanston, IL 60201 Phone: 847-570-2114 | |
Korie Lynne Zink, MD, MS Emergency Medicine Medicare: Medicare Enrolled Practice Location: 2650 Ridge Ave, Evanston, IL 60201 Phone: 847-570-2114 Fax: 847-570-1223 | |
Yudith Diaz Baez, MD Emergency Medicine Medicare: Medicare Enrolled Practice Location: 2650 Ridge Ave, Evanston, IL 60201 Phone: 847-570-2114 Fax: 847-570-1223 | |
Isaac Kolawole Agboola, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 2650 Ridge Ave, Evanston, IL 60201 Phone: 847-570-2114 Fax: 847-570-1223 | |
Wilber P. Yep, MD Emergency Medicine Medicare: Medicare Enrolled Practice Location: 2650 Ridge Ave, Emergency Medicine Rm G909, Evanston, IL 60201 Phone: 847-570-2114 Fax: 847-570-1223 |