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1861117038
PATRICK BRENNAN COSTELLO
ELMHURST, IL
NPI
1861117038
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
(Licence: IL 085009279)
Enumeration Date
2022-10-10
Last Update Date
2023-06-26
Business Address
Mr. PATRICK BRENNAN COSTELLO PA
1200 S YORK ST STE 4220
ELMHURST, IL 60126-5632
Phone number: 630-758-8838
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Mailing Address
Mr. PATRICK BRENNAN COSTELLO PA
PO BOX 713260
CHICAGO, IL 60677
Phone number: 630-469-9200
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