Petronilo R Costa in Deerfield - Neurodevelopmental Disabilities
Petronilo R Costa - NPI 1043435340
Petronilo R Costa is a Neurodevelopmental Disabilities in Deerfield, Illinois. Petronilo R Costa practices all healthcare services and medical treatments related to Neurodevelopmental Disabilities. The NPI Number for Petronilo R Costa is 1043435340. The last update date is 2016-10-12.
Petronilo R Costa's current location address is 420 Lake Cook Rd Ste 118, Deerfield, Illinois. You can contact this provider via phone number 8472050237 and fax number 8667353898. The mailing address for Petronilo R Costa is 420 Lake Cook Rd Ste 118, Deerfield, Illinois. To know further, please read the information below!
Provider Profile Detail
Provider Name | Petronilo R Costa |
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Address | 420 Lake Cook Rd Ste 118, Deerfield, Illinois |
Phone Number | 8472050237 |
Fax Number | 8667353898 |
Sole Proprietor | Y |
Credentials | MD |
NPI Number Detail
NPI Number | 1043435340 |
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Provider Enumeration Date | 2007-04-13 |
Last Updated Date | 2016-10-12 |
Provider Mailing Address Detail
Address | 420 Lake Cook Rd Ste 118 |
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City | Deerfield |
State | Illinois (IL) |
Post Code | 600154914 |
Phone Number | 8472050237 |
Fax Number | 8667353898 |
Provider's Primary Taxonomy Detail
Speciality | Neurodevelopmental Disabilities |
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Taxonomy | 2080P0008X |
Licence No | 036-046-108 |
Definition: A pediatrician who specializes in the treatment of individuals with developmental delays and learning disorders associated with cerebral palsy, spina bifida, autism, and other chronic neurologic conditions. |
Post Comment/ Review Below
What is the unique 10-digit identifier code assigned to Petronilo R Costa by the Centers for Medicare & Medicaid Services?
The Petronilo R Costa has been issued the NPI (National Provider Identifier) 1043435340 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.
Could you kindly provide the complete physical address where Petronilo R Costa's facilities are geographically located?
The facilities of Petronilo R Costa are physically situated at the following location: 420 Lake Cook Rd Ste 118, Deerfield, IL, 600154914.
What is Petronilo R Costa's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?
The primary field of medical specialization for Petronilo R Costa is Neurodevelopmental Disabilities, and the taxonomy classification code that categorizes this area of expertise is 2080P0008X.
On what date did the Petronilo R Costa receive the assignment of its 1043435340 from the Centers for Medicare & Medicaid Services?
The Petronilo R Costa was issued its 1043435340 by the Centers for Medicare & Medicaid Services on 2007-04-13.
When was the information regarding Petronilo R Costa most recently updated?
The details pertaining to the Petronilo R Costa, including its address, specialty, and other relevant information, were last refreshed on 2016-10-12.
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