Individual
JAN COSTIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RPH
Contact information
Practice address
16 BRANDYWINE RD, SOUTH BARRINGTON, IL 60010-9311
(847) 567-6100
Mailing address
2045 PLUM GROVE RD, ROLLING MEADOWS, IL 60008-1992
(847) 303-2451
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
051034058
IL
Other
Enumeration date
11/10/2023
Last updated
11/10/2023
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