Individual
CHRIS O COSTAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
6500 N CLARK ST, CHICAGO, IL 60626-4097
(847) 866-6338
(847) 491-1392
Mailing address
546 W WELLINGTON AVE APT 2W, CHICAGO, IL 60657-0497
(773) 671-1503
Taxonomy
Speciality
Code
Description
License number
State
207RI0200X
Infectious Disease Physician
Primary
036067703
IL
207RI0200X
Infectious Disease Physician
03666073
IL
Other
Enumeration date
06/27/2006
Last updated
02/16/2021
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