Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. DENNIS D COSTERISAN, D.O.
Active Sole ProprietorDR. DENNIS D COSTERISAN, D.O. is a Family Medicine healthcare provider located in DECATUR, Illinois. NPI 1578565701 is currently active in the NPPES registry. Verify at CMS.
Family Medicine · DECATUR, IL
Registration Details
- NPI Number
- 1578565701
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jun 1, 2005 (21.170228503345 yrs)
- Last Updated
- Jan 25, 2022
- License
-
036071025 (IL)
- Sole Proprietor
- Yes
Practice Information
- Address
-
320 E CENTRAL AVEDECATUR, IL, 625214665Browse IL providers · Browse ZIP 62521
- Phone
- 2178779117
- Fax
- 2178773078
- Primary Specialty
-
Family Medicine
207Q00000X
Other Family Medicine Providers in DECATUR, IL
| Name | Credential | NPI |
|---|---|---|
| DANIEL BURTION SMITH | M.D. | 1699779538 |
| DR. CYNTHIA D MARSCHNER | DO | 1194721571 |
| DR. BROOKE NICOLE BALLARD | M.D. | 1053310557 |
| DR. ALAN DALE BILYEU | MD | 1417956798 |
| DR. DAVID ANTHONY JONES | MD | 1942292412 |
| SCOTT SIEBERG | M.D. | 1659362150 |
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.