Individual
ANDREW COSTELLO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
5145 N CALIFORNIA AVENUE, SWEDISH COVENANT HOSPITAL, CHICAGO, IL 60625
(773) 878-8200
(630) 734-1560
Mailing address
2740 W FOSTER AVE STE 310, CHICAGO, IL 60625-3547
(773) 878-8200
(773) 293-8804
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
036097665
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036097665
—
IL
Enumeration date
05/20/2006
Last updated
03/31/2021
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