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Organization

ANGELO A COSTAS MD SC

Active
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Organization

ANGELO A COSTAS MD SC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
ANGELO COSTAS MD (OWNER)
(312) 922-3815
Entity
Organization

Contact information

Practice address
200 S MICHIGAN AVE, SUITE 805, CHICAGO, IL 60604-2402
(312) 922-3815
(312) 922-1207
Mailing address
200 S MICHIGAN AVE, SUITE 805, CHICAGO, IL 60604-2402
(312) 922-3815
(312) 922-1207

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
036092729
IL

Other

Enumeration date
06/04/2014
Last updated
06/04/2014
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