# ANGELO A COSTAS MD SC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1912310319
- **Authorized official:** ANGELO COSTAS MD (OWNER)
- **Authorized official phone:** (312) 922-3815

## Contact information

- **Practice address:** 200 S MICHIGAN AVE, SUITE 805, CHICAGO, IL 60604-2402
- **Practice address phone:** (312) 922-3815
- **Practice address fax:** (312) 922-1207
- **Mailing address:** 200 S MICHIGAN AVE, SUITE 805, CHICAGO, IL 60604-2402
- **Mailing address phone:** (312) 922-3815
- **Mailing address fax:** (312) 922-1207

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207R00000X | Internal Medicine Physician | 036092729 | IL | Yes |

## Other

- **Enumeration date:** 06/04/2014
- **Last updated:** 06/04/2014