Individual
DR. JILLIAN MARIE COSTELLO
Active
Individual
DR. JILLIAN MARIE COSTELLO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DO
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
036.173992
IL
390200000X
Student in an Organized Health Care Education/Training Program
390200000X
IL
Other
Enumeration date
03/27/2021
Last updated
05/22/2025
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