DR. AGNES KATHERINE COSTELLO M.D.
NPI 1770748865
Psychiatry & Neurology - Child & Adolescent Psychiatry in Winfield, IL

Active since July 28, 2008PECOS Enrolled
25 N WINFIELD RD, WINFIELD, IL 60190(630) 933-6631(630) 933-4936 Get Directions Write a Review

NPPES record last updated: December 2, 2013. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Dr. Agnes Katherine Costello M.d. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. AGNES KATHERINE COSTELLO M.D. (NPI 1770748865) is an individual child & adolescent psychiatry provider in Winfield, Illinois, licensed in Illinois (036117700) and active in the NPI registry since July 2008. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1770748865
Entity TypeIndividualFemale
Primary Taxonomy2084P0804X
Provider Legal NameDR. AGNES KATHERINE COSTELLOCredential: M.D.
Location Address25 N WINFIELD RDWinfield, IL 60190-1295
Mailing Address25 N Winfield RdWinfield, IL 60190-1295 · (630) 933-6631 · Fax (630) 933-4936
Fax(630) 933-4936
Sole ProprietorNo
Enumeration DateJuly 28, 2008
Last NPPES UpdateDecember 2, 2013
NPI 1770748865 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPsychiatry & Neurology · Child & Adolescent PsychiatryAllopathic & Osteopathic Physicians
Taxonomy Code2084P0804X
License Licensed in IL · 036117700
Definition
Child & Adolescent Psychiatry is a subspecialty of psychiatry with additional skills and training in the diagnosis and treatment of developmental, behavioral, emotional, and mental disorders of childhood and adolescence.
25 N WINFIELD RD, Winfield, IL 60190

Other Identifiers 3

Other206147IL · Medicare (group)
Other206147218IL · Medicare Ptan (individual)
Medicaid036117700IL

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Dr. Agnes Katherine Costello M.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Surgery (Vascular Surgery)
25 N WINFIELD RD, SUITE 201
WINFIELD, IL 60190
Nurse Practitioner
25 N WINFIELD RD
WINFIELD, IL 60190
Speech-Language Pathologist
25 N WINFIELD RD
WINFIELD, IL 60190
Internal Medicine (Pulmonary Disease)
25 N WINFIELD RD
WINFIELD, IL 60190
Obstetrics & Gynecology
25 N WINFIELD RD
WINFIELD, IL 60190
Anesthesiology
25 N WINFIELD RD
WINFIELD, IL 60190
Otolaryngology
25 N WINFIELD RD
WINFIELD, IL 60190
Nurse Practitioner (Family)
25 N WINFIELD RD
WINFIELD, IL 60190

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Agnes Costello's NPI number?

The NPI number for Agnes Costello is 1770748865. It was assigned to this individual provider in the NPPES registry on July 28, 2008.

Where is Agnes Costello located?

Agnes Costello practices at 25 N Winfield Rd, Winfield, IL 60190. The listed phone number is (630) 933-6631.

What is Agnes Costello's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Child & Adolescent Psychiatry, with taxonomy code 2084P0804X.

Is Agnes Costello enrolled in Medicare?

Yes. Agnes Costello is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Agnes Costello was last updated on December 2, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.