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Individual

COSTAS L CONSTANTINOU

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
500 JOHN DEERE RD STE 102, MOLINE, IL 61265-6892
(309) 779-4944
(309) 779-4989
Mailing address
500 JOHN DEERE RD STE 102, MOLINE, IL 61265-6892
(309) 779-4944
(309) 779-4989

Taxonomy

Speciality
Code
Description
License number
State
207RX0202X
Medical Oncology Physician
036087414
IL
207RX0202X
Medical Oncology Physician
Primary
32688
IA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
3217588
IA
Enumeration date
08/15/2006
Last updated
07/30/2021
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