Drs Costis P.c.

NPI #1902054281 in Chicago, Illinois

Provider Information

NPI Number: 1902054281
Entity Type: Organization
Organization Name: Drs Costis P.c.
Primary Specialty: Dentist
Enumeration Date: Aug 29, 2008
Last Updated: Oct 15, 2020

Practice Location

Address: 5456 N MILWAUKEE AVE
City: Chicago
State: Illinois
ZIP Code: 60630-1225
Phone: (773) 631-5693

Authorized Official

Name: DR. JAMES A COSTIS
Title: DENTIST
Phone: (773) 631-5693

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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