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1336598960
MARK COSTALES
DES PLAINES, IL
NPI
1336598960
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
225100000X Physical Therapist
(Licence: IL 070017478)
Enumeration Date
2016-06-04
Last Update Date
2016-06-04
Business Address
-- MARK COSTALES P.T.
1460 MARKET ST
DES PLAINES, IL 60016-4643
Phone number: 847-813-0700
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Mailing Address
-- MARK COSTALES P.T.
2625 BUTTERFIELD RD SUITE 300S
OAK BROOK, IL 60523-1234
Phone number: 630-573-1979
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