Petronilo R Costa
Pediatrician Adolescent Medicine Developmental - Behavioral Pediatrician
420 Lake Cook Rd Ste 118
Deerfield
, Illinois 60015-4914
Petronilo R Costa
Pediatrician Adolescent Medicine Developmental - Behavioral Pediatrician
420 Lake Cook Rd Ste 118
Deerfield
, Illinois 60015-4914
(866) 735-3898
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About
Features
Specialties
- Pediatrician
- Adolescent Medicine
- Developmental - Behavioral Pediatrician
Languages spoken
- English
Location
First Address
- Petronilo R Costa
- 420 Lake Cook Rd Ste 118
- Deerfield, IL
- Zip : 60015-4914
- Fax : (866) 735-3898
- Phone : (847) 205-0237
Second Address
- Petronilo R Costa
- 420 Lake Cook Rd Ste 118
- Deerfield, IL
- Zip : 60015-4914
- Fax : (866) 735-3898
- Phone : (847) 205-0237
Reviews
FAQs
Where did Petronilo R Costa attend graduate school?
Where did Petronilo R Costa do his residency?
Where did Petronilo R Costa do his fellowship?
Is Petronilo R Costa board certified?
In what state does Petronilo R Costa practice in?
Where is Petronilo R Costa ’s practice located?
What is Petronilo R Costa ’s gender?
Is Petronilo R Costa a sole practitioner?
Is Petronilo R Costa accepting new patients?
What languages does Petronilo R Costa speak?
Does Petronilo R Costa accept insurance?
Does Petronilo R Costa offers telemedicine?
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Does Petronilo R Costa have any license restrictions?
Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| N | 208000000X | Pediatrician | 036-046-108 | IL |
| N | 2080A0000X | Adolescent Medicine | 036-046-108 | IL |
| N | 2080P0006X | Developmental - Behavioral Pediatrician | 036-046-108 | IL |
National Provider Identifier
| NPI | 1043435340 |
|---|---|
| Provider Name | Petronilo R Costa |
| First Address | Deerfield, IL 60015-4914 |
| Second Address | Deerfield, IL 60015-4914 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 13/04/2007 |
| Last Update Date | 12/10/2016 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| C43728 | (02) | IL |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.