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Search › Illinois › 2083P0011X

Petronilo Costa, MD

NPI 1043435340 · on the registry since 2007 · sole proprietor

Practice

Address
420 Lake Cook Rd Ste 118
Deerfield, IL 60015
Phone
(847) 205-0237
Fax
(866) 735-3898
Organisation at this address
Dr. Morrie Katz
Dr. Morrie Katz
Just Be Fit, Inc
Jlm Counseling Ltd
Leslie Abrams, Ltd
Inferred from a shared address, not stated in the registry.
Clinicians at this address
30

Registry record

Primary taxonomy
2083P0011X
2083P0011X
Also registered as
208000000X
2080A0000X
2080P0006X
2080P0008X
Psychiatry
Child & Adolescent Psychiatry
Licence states on file
IL
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2016-10-12

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Illinois