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1174722409
TIA KOSTAS
CHICAGO, IL
NPI
1174722409
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
207RG0300X Internal Medicine, Geriatric Medicine
(Licence: IL 036134139)
Enumeration Date
2007-07-17
Last Update Date
2022-10-24
Business Address
TIA KOSTAS
5841 S MARYLAND AVE
CHICAGO, IL 60637-1443
Phone number: 888-824-0200
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Mailing Address
TIA KOSTAS
150 HARVESTER DR SUITE 300
BURR RIDGE, IL 60527-5919
Phone number:
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