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1164864765
JAMES A COSTIS
CHICAGO, IL
NPI
1164864765
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
122300000X Dentist
(Licence: IL 019022103)
Enumeration Date
2013-07-24
Last Update Date
2020-10-15
Business Address
Dr. JAMES A COSTIS dds
5456 N MILWAUKEE AVE
CHICAGO, IL 60630-1225
Phone number: 773-631-5693
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Mailing Address
Dr. JAMES A COSTIS dds
5456 N MILWAUKEE AVE
CHICAGO, IL 60630-1225
Phone number: 773-631-5693
Copy
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