Juliann Evelyn Kostecki
Individual provider Active NPI Social Worker · Johnsburg, IL
NPI 1124547450 · NPPES record last updated Jul 21, 2022
Key facts
- NPI
- 1124547450
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Social Worker 104100000X
- Practice address
- 2413 W Johnsburg Rd Apt 2
Johnsburg, IL 60051-5169 - Phone
- (847) 445-3818
- NPI assigned
- Sep 19, 2017
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Social Worker | 104100000X | Yes |
Addresses
Primary practice location
2413 W Johnsburg Rd Apt 2
Johnsburg, IL 60051-5169
Mailing address
2413 W Johnsburg Rd Apt 2
Johnsburg, IL 60051-5169
Phone (847) 445-3818
Other providers in Johnsburg, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 21, 2022. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.