MELISSA COSTELLO-MCKEE (NPI# 1477069946) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1477069946 |
| Entity Type | Individual |
| Full Name | MELISSA COSTELLO-MCKEE |
| Practice Address |
6003 Jackpine Rd Bloomington IL 61705-7502 |
| Practice Telephone | 3098261926 |
| Mailing Telephone | 3098261926 |
| Enumeration Date | 2017-12-20 |
| Last Update Date | 2017-12-20 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 246ZE0600X |
Specialist/Technologist, Other Specialization: Electroneurodiagnostic |
Technologists, Technicians & Other Technical Service Providers |
| Street Address |
6003 JACKPINE RD |
| City | BLOOMINGTON |
| State | IL |
| Zip Code | 61705-7502 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205213758 | Compass Counselors | Counselor | 14237 Twin Grove Rd., Bloomington, IL 61705 | 2015-05-05 |
| 1740540988 | Christine Rodeghero | Speech-Language Pathologist | 15 Stonehedges Ct, Bloomington, IL 61705 | 2012-05-22 |
| 1568944569 | Amy Mammadov | Speech-Language Pathologist | 7 Callahan Ct, Bloomington, IL 61705-1701 | 2018-09-05 |
| 1649528514 | Marsha Lynn Karhoff-burnett | Speech-Language Pathologist | 2 Cloverhill Cir, Bloomington, IL 61705-3300 | 2012-08-26 |
| 1720468796 | Tamara Brennan | Social Worker | 19897 Lakewood Dr, Bloomington, IL 61705-4003 | 2015-06-04 |
| 1932126224 | Walmart Inc. | Durable Medical Equipment & Medical Supplies | 2225 W Market St, Bloomington, IL 61705-5014 | 2006-07-16 |
| 1497356596 | Hosannah Marie Dalogdog | Specialist/Technologist | 2225 W Market St, Bloomington, IL 61705-5014 | 2020-11-04 |
| 1689273237 | Heather Becker | Pharmacist | 2225 W Market St, Bloomington, IL 61705-5014 | 2020-10-23 |
| 1285923680 | Bnl Eyecare Inc. | Optometrist | 2225 W Market St, Vision Center, Bloomington, IL 61705-5014 | 2011-04-06 |
| 1750603965 | Allmond Eyecare, LLC | Optometrist | 2225 W Market St, Bloomington, IL 61705-5014 | 2010-02-16 |
| Find all providers in zip 61705 | ||||
| Taxonomy Code | 246ZE0600X |
| Grouping | Technologists, Technicians & Other Technical Service Providers |
| Classification | Specialist/Technologist, Other |
| Specialization | Electroneurodiagnostic |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396107918 | Darla Schwertfeger | Specialist/Technologist, Other | 2104 Hedgewood Dr, Bloomington, IL 61704 | 2016-03-23 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437761525 | Rick D Hitchens | Specialist/Technologist, Other | 676 Framingham Ct, Gurnee, IL 60031-3496 | 2020-08-19 |
| 1740824986 | Samuel Montes | Specialist/Technologist, Other | 4014 N Spaulding Ave Apt G, Chicago, IL 60618-3328 | 2019-10-31 |
| 1588225635 | Ramon Edgargo Nunez | Specialist/Technologist, Other | 205 Lake St, Libertyville, IL 60048-1850 | 2019-06-27 |
| 1720500580 | Uche Michael Esedebe | Specialist/Technologist, Other | 5013 Florence Ave Apt 3, Downers Grove, IL 60515-3973 | 2017-07-13 |
| 1629468541 | Definitive Neurodiagnostics, LLC Professional Services | Specialist/Technologist, Other | 1604 Visa Dr # 1, Normal, IL 61761-2195 | 2015-01-30 |
| 1942569843 | Intranerve LLC | Specialist/Technologist, Other | 2210 Abbeywood Dr Ste A, Lisle, IL 60532-3384 | 2012-05-11 |
| 1922308220 | Sandie Dragos | Specialist/Technologist, Other | 3905 Crosby St, Rockford, IL 61107-4865 | 2010-11-02 |
| 1265732036 | Rockford Neuromonitoring Group LLC | Specialist/Technologist, Other | 1036 Lundvall Ave, Rockford, IL 61107-3338 | 2010-10-27 |
| 1780908434 | Chicago Electrical Trauma Research Institute | Specialist/Technologist, Other | 4047 W. 40th Street, Chicago, IL 60632 | 2010-03-24 |
| 1275856718 | Brian M Brown | Specialist/Technologist, Other | 3220 185th Pl, Homewood, IL 60430-2701 | 2010-03-11 |
| Find all providers with the same taxonomy | ||||
| City | BLOOMINGTON |
| Zip Code | 61705 |
Please comment or provide details below to improve the information on MELISSA COSTELLO-MCKEE.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.