Individual
DAWN M COSTELLO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
765 ELA RD, STE. 105, LAKE ZURICH, IL 60047-2385
(847) 550-1115
Mailing address
765 ELA RD, STE. 105, LAKE ZURICH, IL 60047-2385
(847) 550-1115
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
227012961
IL
Other
Enumeration date
06/30/2011
Last updated
06/30/2011
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