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Individual

DUSTIN COREY CONSOL

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
3021 N LINCOLN AVE APT 2, CHICAGO, IL 60657-9906
(530) 219-2920
Mailing address
3021 N LINCOLN AVE APT 2, CHICAGO, IL 60657-9906

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary

Other

Enumeration date
04/14/2022
Last updated
04/14/2022
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