Whalio Doctors

NPI 1043435340

Petronilo R Costa, MD

Practitioner Undersea and Hyperbaric Medicine (Preventive Medicine) Physician Deerfield, IL

Practice location

Address
420 Lake Cook Rd STE 118, Deerfield, IL 60015-4914
Phone
(847) 205-0237
Fax
(866) 735-3898

Registered specialties (7)

Undersea and Hyperbaric Medicine (Preventive Medicine) Physician Primary
Allopathic & Osteopathic Physicians Taxonomy 2083P0011X Licence 036-046-108 (IL)
Pediatrics Physician
Allopathic & Osteopathic Physicians Taxonomy 208000000X Licence 036-046-108 (IL)
Pediatric Adolescent Medicine Physician
Allopathic & Osteopathic Physicians Taxonomy 2080A0000X Licence 036-046-108 (IL)
Developmental - Behavioral Pediatrics Physician
Allopathic & Osteopathic Physicians Taxonomy 2080P0006X Licence 036-046-108 (IL)
Pediatric Neurodevelopmental Disabilities Physician
Allopathic & Osteopathic Physicians Taxonomy 2080P0008X Licence 036-046-108 (IL)
Psychiatry Physician
Allopathic & Osteopathic Physicians Taxonomy 2084P0800X Licence 036-046-108 (IL)
Child & Adolescent Psychiatry Physician
Allopathic & Osteopathic Physicians Taxonomy 2084P0804X Licence 036-046-108 (IL)

Registry record

NPI
1043435340
Entity type
Individual
Sex (as registered)
Male
NPI issued
13 Apr 2007
Record last updated
12 Oct 2016

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.