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1629043195
DOMINIC COSTABILE
NAPERVILLE, IL
NPI
1629043195
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207Q00000X Family Medicine
(Licence: IL 036071000)
Enumeration Date
2006-02-20
Last Update Date
2014-06-05
Business Address
-- DOMINIC COSTABILE DO
1315 MACOM DR SUITE 005
NAPERVILLE, IL 60564-9358
Phone number: 630-904-5640
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Mailing Address
-- DOMINIC COSTABILE DO
1315 MACOM DR SUITE 005
NAPERVILLE, IL 60564-9358
Phone number: 630-904-5640
Copy
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