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:
Map and Directions

Health care specialties

SpecialtyCodeLicense #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 8 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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