Individual
DANIEL JOSEPH COSTIGAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
3815 HIGHLAND AVE, DOWNERS GROVE, IL 60515-1500
(630) 275-5900
Mailing address
185 PENNY AVE, EAST DUNDEE, IL 60118-1454
(888) 836-7015
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
3277
IA
207L00000X
Anesthesiology Physician
Primary
336076605
IL
2083P0901X
Public Health & General Preventive Medicine Physician
3277
IA
2083P0901X
Public Health & General Preventive Medicine Physician
336076605
IL
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/06/2009
Last updated
05/01/2012
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