Petronilo R Costa (NPI# 1043435340, PAC ID# 0244266872) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PSYCHIATRY.
| Nation Provider ID (NPI) | 1043435340 |
| PAC ID by PECOS | 0244266872 |
| Professional Enrollment ID | I20050714000368 |
| Full Name | Petronilo R Costa |
| Address |
440 Lake Cook Rd Deerfield IL 60015-5242 |
| Gender | M |
| Credential | MD |
| Graduation Year | 1967 |
| Primary Specialty | PSYCHIATRY |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 440 Lake Cook Rd, Deerfield, IL 60015-5242 |
| Street Address |
440 LAKE COOK RD |
| City | DEERFIELD |
| State | IL |
| Zip | 60015-5242 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Julie A Worley | Nurse Practitioner | Midwest Institute of Neurological Discovery, LLC | 440 Lake Cook Rd, Deerfield, IL 60015-5242 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Samantha O Schulze | Psychologist, Clinical | Linda L Hines Phd PC | 2213 Lakeside Dr, Bannockburn, IL 60015-1265 |
| Angela M Fadragas | Clinical Social Worker | Linda L Hines Phd PC | 2213 Lakeside Dr, Bannockburn, IL 60015-1265 |
| Brad K Greenspan | Psychiatry | Linda L Hines Phd PC | 2213 Lakeside Dr, Bannockburn, IL 60015-1265 |
| Linda L Hines | Psychologist, Clinical | Linda L Hines Phd PC | 2213 Lakeside Dr, Bannockburn, IL 60015-1265 |
| Halle M Aten | Psychologist, Clinical | Linda L Hines Phd PC | 2213 Lakeside Dr, Bannockburn, IL 60015-1265 |
| Paula T Dicanio | Psychologist, Clinical | Linda L Hines Phd PC | 2213 Lakeside Dr, Bannockburn, IL 60015-1265 |
| Joseph A Kanengiser | Clinical Social Worker | Linda L Hines Phd PC | 2213 Lakeside Dr, Bannockburn, IL 60015-1265 |
| Caroline M Degroot | Physical Therapy | Athletico Ltd | 2211 Waukegan Rd, Bannockburn, IL 60015-1570 |
| William F Love | Physical Therapy | Athletico Ltd | 2211 Waukegan Rd, Bannockburn, IL 60015-1570 |
| Laura A Calgaro | Physical Therapy | Athletico Ltd | 2211 Waukegan Rd, Bannockburn, IL 60015-1570 |
| Find all physicians in zip 60015 | |||
| City | DEERFIELD |
| Zip Code | 60015 |
| Specialty | PSYCHIATRY |
| City + Specialty | DEERFIELD + PSYCHIATRY |
Please comment or provide details below to improve the information on Petronilo R Costa.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.