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1184951246
ELLEN MARIE COSTELLO
ORLAND PARK, IL
NPI
1184951246
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Former Name
ELLEN MARIE NOONAN
Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: IL 209007696)
Enumeration Date
2009-11-11
Last Update Date
2022-06-06
Business Address
ELLEN MARIE COSTELLO APN
14680 S LA GRANGE RD
ORLAND PARK, IL 60462-2510
Phone number: 800-323-8622
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Mailing Address
ELLEN MARIE COSTELLO APN
29373 NETWORK PL
CHICAGO, IL 60673-1293
Phone number: 847-390-5900
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