Individual
PETRONILO R COSTA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
420 LAKE COOK RD STE 118, DEERFIELD, IL 60015-4914
(847) 205-0237
(866) 735-3898
Mailing address
420 LAKE COOK RD STE 118, DEERFIELD, IL 60015-4914
(847) 205-0237
(866) 735-3898
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
036-046-108
IL
2080A0000X
Pediatric Adolescent Medicine Physician
036-046-108
IL
2080P0006X
Developmental - Behavioral Pediatrics Physician
036-046-108
IL
2080P0008X
Pediatric Neurodevelopmental Disabilities Physician
036-046-108
IL
2083P0011X
Undersea and Hyperbaric Medicine (Preventive Medicine) Physician
Primary
036-046-108
IL
2084P0800X
Psychiatry Physician
036-046-108
IL
2084P0804X
Child & Adolescent Psychiatry Physician
036-046-108
IL
Other
Enumeration date
04/13/2007
Last updated
10/12/2016
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us