Individual
DR. ANGELO ANDREW COSTAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
200 S MICHIGAN AVE, SUITE 805, CHICAGO, IL 60604-2402
(312) 922-3815
(312) 922-3789
Mailing address
200 S MICHIGAN AVE, SUITE 805, CHICAGO, IL 60604-2402
(312) 922-3815
(312) 922-3789
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
036092729
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
036092729
ILL LIC #
IL
05
—
0360927291
—
IL
Enumeration date
05/05/2006
Last updated
03/01/2016
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