Individual
DR. SHAUNA MARIE COSTINETT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
6565 N CHARLES ST STE 501, BALTIMORE, MD 21204-5802
(443) 849-3779
(443) 849-3767
Mailing address
1750 WEST HARRISON STREET, GENERAL SURGERY OFFICE, CHICAGO, IL 60612
(312) 942-6510
(312) 942-2867
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
125065618
IL
Other
Enumeration date
06/23/2014
Last updated
02/20/2025
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