Individual
MR. PATRICK BRENNAN COSTELLO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA
Contact information
Practice address
1200 S YORK ST STE 4220, ELMHURST, IL 60126-5632
(630) 758-8838
(630) 758-8846
Mailing address
PO BOX 713260, CHICAGO, IL 60677
(630) 469-9200
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
085009279
IL
Other
Enumeration date
10/10/2022
Last updated
06/26/2023
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