Individual
DAVID KOSTURAKIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1000 N WESTMORELAND RD, LAKE FOREST, IL 60045-1658
(847) 748-1931
Mailing address
1000 N WESTMORELAND RD, LAKE FOREST, IL 60045-1658
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
0101256911
VA
207P00000X
Emergency Medicine Physician
01082915A
IN
207P00000X
Emergency Medicine Physician
036143368
IL
207P00000X
Emergency Medicine Physician
C4305
KY
207P00000X
Emergency Medicine Physician
CS64180
ID
207P00000X
Emergency Medicine Physician
MD2020-0194
NM
207P00000X
Emergency Medicine Physician
MD22621
ME
207P00000X
Emergency Medicine Physician
MD487246C
PA
207P00000X
Emergency Medicine Physician
Primary
R4077
TX
207R00000X
Internal Medicine Physician
0101256911
VA
207R00000X
Internal Medicine Physician
01082915A
IN
207R00000X
Internal Medicine Physician
036143368
IL
390200000X
Student in an Organized Health Care Education/Training Program
—
VA
Other
Enumeration date
04/24/2012
Last updated
10/06/2025
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