Dr. DENNIS J. COSTA M.D.
Individual Provider (NPI-1)
Active
Surgery
Provider Information
- NPI Number
1477599603- Provider Type
- Individual Provider (NPI-1)
- Credentials
- M.D.
- Status
- Active
Contact & Location
- Address
- 101 W UNIVERSITY AVE, CHAMPAIGN, IL, 618203981
- Phone
- (217) 366-2670
- Fax
- (217) 366-2669
Specialties & Taxonomies
Surgery
License: WI #1724-850
Unknown
License: WI #49844
Unknown
Primary License: IL #036177187