Petronilo R Costa, MD
Petronilo R Costa, MD is an Undersea and Hyperbaric Medicine (Preventive Medicine) Physician in Deerfield, Illinois. Practices as a sole proprietor. Licensed in Illinois.
- Licensed in
- IL
- In the registry since
- 2007
- Specialties on file
- 7
What do these letters mean?
- MD — Doctor of Medicine
- A physician who completed allopathic medical school.
Practice location Address checks out
420 Lake Cook Rd Ste 118Deerfield, IL 60015-4914
Phone: (847) 205-0237
Fax: (866) 735-3898
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Undersea and Hyperbaric Medicine (Preventive Medicine) Physician (primary) | Taxonomy 2083P0011X · Licence 036-046-108 (IL) |
|---|---|
| Pediatrics Physician | Taxonomy 208000000X · Licence 036-046-108 (IL) |
| Pediatric Adolescent Medicine Physician | Taxonomy 2080A0000X · Licence 036-046-108 (IL) |
| Developmental - Behavioral Pediatrics Physician | Taxonomy 2080P0006X · Licence 036-046-108 (IL) |
| Pediatric Neurodevelopmental Disabilities Physician | Taxonomy 2080P0008X · Licence 036-046-108 (IL) |
| Psychiatry Physician | Taxonomy 2084P0800X · Licence 036-046-108 (IL) |
| Child & Adolescent Psychiatry Physician | Taxonomy 2084P0804X · Licence 036-046-108 (IL) |
Record details
| NPI number | 1043435340 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Credentials | MD |
| Sole proprietor | Yes |
| NPI enumerated | April 13, 2007 |
| Last updated in NPPES | October 12, 2016 |
| Mailing address | 420 Lake Cook Rd Ste 118, Deerfield, IL 60015-4914 |