Individual
EVELYN COSTALES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
APN
Contact information
Practice address
5906 PERSHING AVE, DOWNERS GROVE, IL 60516-1727
(847) 436-1412
Mailing address
5906 PERSHING AVE, DOWNERS GROVE, IL 60516-1727
(847) 436-1412
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
209031223
IL
Other
Enumeration date
12/12/2024
Last updated
12/12/2024
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