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Organization

CONSOLIDATED ANESTHESIA PC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
JOSEPH COSTA MD (PRESIDENT)
(847) 520-0235
Entity
Organization

Contact information

Practice address
190 45TH ST, MUNSTER, IN 46321
(219) 922-5100
(219) 934-1052
Mailing address
222 E DUNDEE RD, WHEELING, IL 60090
(847) 520-0235
(847) 520-0390

Taxonomy

Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary

Other

Enumeration date
07/13/2007
Last updated
07/13/2007
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