Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. JOSEPH PATRICK COSTELLO III, MD
Active Sole ProprietorDR. JOSEPH PATRICK COSTELLO III, MD is a Specialist healthcare provider located in SWANSEA, Illinois. NPI 1073607651 is currently active in the NPPES registry. Verify at CMS.
Specialist · SWANSEA, IL
Registration Details
- NPI Number
- 1073607651
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Oct 3, 2006 (19.890401567781 yrs)
- Last Updated
- Nov 30, 2011
- License
-
036079559 (IL)
- Sole Proprietor
- Yes
Practice Information
- Address
-
4212 N ILLINOIS STSWANSEA, IL, 622261835Browse IL providers · Browse ZIP 62226
- Phone
- 6182336685
- Fax
- 6182336616
- Primary Specialty
-
Specialist
174400000X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.