DANIEL JESSE COSTA JR

LISLE, IL
NPI1932311149
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy111N00000X Chiropractor
(Licence: IL  038007294)
Enumeration Date2007-05-03
Last Update Date2007-07-08
Business Address
Dr. DANIEL JESSE COSTA JR D.C.
4315 AZALEA DR SUITE 201
LISLE, IL 60532-1181
Phone number: 630-717-8900
Mailing Address
Dr. DANIEL JESSE COSTA JR D.C.
PO BOX 592
NAPERVILLE, IL 60566-0592
Phone number: 630-717-8900
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