Provider Demographics
NPI:1801679626
Name:RIOS-COSTE, LAURA (AUD, CCC-A)
Entity type:Individual
Prefix:
First Name:LAURA
Middle Name:
Last Name:RIOS-COSTE
Suffix:
Gender:F
Credentials:AUD, CCC-A
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6800 N. FRONTAGE RD.
Mailing Address - Street 2:AUDIOLOGY DEPARTMENT
Mailing Address - City:BURR RIDGE
Mailing Address - State:IL
Mailing Address - Zip Code:60527
Mailing Address - Country:US
Mailing Address - Phone:708-327-1054
Mailing Address - Fax:
Practice Address - Street 1:6800 N. FRONTAGE RD.
Practice Address - Street 2:AUDIOLOGY DEPARTMENT
Practice Address - City:BURR RIDGE
Practice Address - State:IL
Practice Address - Zip Code:60527
Practice Address - Country:US
Practice Address - Phone:708-327-1054
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-08-15
Last Update Date:2023-08-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL147.001964237600000X, 231H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes231H00000XSpeech, Language and Hearing Service ProvidersAudiologist
No237600000XSpeech, Language and Hearing Service ProvidersAudiologist-Hearing Aid Fitter