Individual
ADAM D DECOSTE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CST
Contact information
Practice address
929 W HIGGINS RD, SCHAUMBURG, IL 60195-3203
(847) 285-4200
(847) 885-0130
Mailing address
929 W HIGGINS RD, SCHAUMBURG, IL 60195-3203
(847) 285-4200
(847) 885-0130
Taxonomy
Speciality
Code
Description
License number
State
246ZS0410X
Surgical Technologist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
111053
THE NATIONAL BOARD OF SURGICAL TECHNOLOGY AND SURGICAL ASSISTING
—
Enumeration date
04/03/2013
Last updated
07/06/2020
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