Individual
DR. JAMES A COSTIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
5456 N MILWAUKEE AVE, CHICAGO, IL 60630-1225
(773) 631-5693
(773) 631-0058
Mailing address
5456 N MILWAUKEE AVE, CHICAGO, IL 60630-1225
(773) 631-5693
(773) 631-0058
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
019022103
IL
Other
Enumeration date
07/24/2013
Last updated
10/15/2020
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