Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Konstantinos D Kostas, PHD

Individual provider Clinical Psychologist · NPI 1629047469

Konstantinos D Kostas, PHD is a Clinical Psychologist in Chicago, Illinois. Qualified in 1994, 32 years ago. Practices with Bonaventure Medical Foundation LLC, a 165-clinician group, works from 2 locations, accepts Medicare assignment and offers telehealth. Licensed in Illinois.

Years since qualifying
32
Licensed in
IL
In the registry since
2006
What do these letters mean?
PHD — Doctor of Philosophy
A research doctorate. In healthcare it usually sits alongside a clinical licence.

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Practice location Address checks out

4501 N Winchester Ave 2nd Fl
Chicago, IL 60640
Phone: (773) 250-0500
Fax: (773) 250-0497
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 800 Biesterfield Rd Ste 610, Elk Grove Village, IL 60007-3362 — (847) 981-3630

Specialties & licences

Clinical Psychologist (primary) Taxonomy 103TC0700X · Licence 071005172 (IL)

Record details

NPI number1629047469
Entity typeIndividual (Type 1)
GenderMale
Credentials PHD
Sole proprietorYes
NPI enumeratedMarch 15, 2006
Last updated in NPPESApril 8, 2021
Certification dateApril 8, 2021

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyCLINICAL PSYCHOLOGIST
Medical schoolOTHER
Graduated 1994 (32 years in practice)
Group practice Bonaventure Medical Foundation Llc — 165 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations2 on file with Medicare

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