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Dr. Daniel Jesse Costa Jr, DC
Chiropractor in Lisle, Illinois
NPI 1932311149

Daniel Jesse Costa Jr is a Chiropractor based in Naperville, IL. Daniel Jesse Costa Jr practices in Lisle, IL and has the professional credentials of DC. The NPI Number for Daniel Jesse Costa Jr is 1932311149 and holds a License No. (Illinois).

The current practice location address for Daniel Jesse Costa Jr is 4315 Azalea Dr, Lisle, IL and can be reached out via phone at 630-717-8900. You can also correspond with Daniel Jesse Costa Jr through the mailing address at PO BOX 592, NAPERVILLE, IL - 60566-0592 (mailing address contact number: 630-717-8900).

Location: 4315 Azalea Dr, Lisle, IL, 60566-0592
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1932311149
Provider Name
Daniel Jesse Costa Jr
Credential
DC
Provider Entity Type
Individual
Gender
Male
Address
4315 Azalea Dr, Lisle, IL, 60566-0592
Phone Number
630-717-8900
Fax Number
Provider Enumeration Date
05/03/2007
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
BLUECROSSBLUE SHIELD 01 IL GROUP # 02221920
institution
Provider Business Practice Location Address Details
Address
4315 Azalea Dr
City
Lisle
State
Illinois
Zip
60532-1181
Phone Number
630-717-8900
Fax Number
person
Provider Business Mailing Address Details
Address
4315 Azalea Dr
City
Lisle
State
Illinois
Zip
60532-1181
Phone Number
630-717-8900
Fax Number
person
Provider's Taxonomy Details 1
Type
Chiropractic Providers
Classification
Chiropractor
Speciality
-
Taxonomy
111N00000X
License No.
(Illinois)
Definition
A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems.
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