Tetyana Kostiv
Occupational Health
300 Anthony Ave Unit 202
Mundelein
, Illinois 60060-2451
Tetyana Kostiv
Occupational Health
300 Anthony Ave Unit 202
Mundelein
, Illinois 60060-2451
(224) 628-0189
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About
Features
Specialties
- Occupational Health
Languages spoken
- English
Location
First Address
- Tetyana Kostiv
- 300 Anthony Ave Unit 202
- Mundelein, IL
- Zip : 60060-2451
- Phone : (224) 628-0189
Second Address
- Tetyana Kostiv
- 300 Anthony Ave Unit 202
- Mundelein, IL
- Zip : 60060-2451
- Phone : (224) 628-0189
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 111NX0100X | Occupational Health | 227.001585 | IL |
National Provider Identifier
| NPI | 1376943639 |
|---|---|
| Provider Name | Tetyana Kostiv |
| First Address | Mundelein, IL 60060-2451 |
| Second Address | Mundelein, IL 60060-2451 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 23/08/2014 |
| Last Update Date | 23/08/2014 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 227.001585 | LICENSED MASSAGE THERAPIST (01) | IL |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.