Costa, Petronilo R
Costa, Petronilo R is an sole proprietor health care provider with primary practice located at 420 Lake Cook Rd Ste 118 , Deerfield IL 60015-4914. He recently has 7 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Undersea and Hyperbaric Medicine, Allopathic & Osteopathic Physicians / Pediatrics, Allopathic & Osteopathic Physicians / Adolescent Medicine, Allopathic & Osteopathic Physicians / Developmental – Behavioral Pediatrics, Allopathic & Osteopathic Physicians / Neurodevelopmental Disabilities, Allopathic & Osteopathic Physicians / Psychiatry, Allopathic & Osteopathic Physicians / Child & Adolescent Psychiatry. Allopathic & Osteopathic Physicians / Undersea and Hyperbaric Medicine is his primary health care specialty. Costa, Petronilo R can be contacted via phone (847) 205-0237.Contact Information
Primary practice address
420 Lake Cook Rd Ste 118
Deerfield IL 60015-4914
Phone: (847) 205-0237
Fax: (866) 735-3898
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Undersea and Hyperbaric Medicine | 2083P0011X | 036-046-108 | Illinois |
| Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | 036-046-108 | Illinois |
| Allopathic & Osteopathic Physicians / Adolescent Medicine | 2080A0000X | 036-046-108 | Illinois |
| Allopathic & Osteopathic Physicians / Developmental – Behavioral Pediatrics | 2080P0006X | 036-046-108 | Illinois |
| Allopathic & Osteopathic Physicians / Neurodevelopmental Disabilities | 2080P0008X | 036-046-108 | Illinois |
| Allopathic & Osteopathic Physicians / Psychiatry | 2084P0800X | 036-046-108 | Illinois |
| Allopathic & Osteopathic Physicians / Child & Adolescent Psychiatry | 2084P0804X | 036-046-108 | Illinois |
Profile Details
| NPI number | 1043435340 |
|---|---|
| LBN Legal business name | Costa, Petronilo R |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Apr 13th, 2007 |
| Last updated | Oct 12th, 2016 - about 10 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
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