PETRONILO R COSTA MD NPI 1043435340

NPI Information

  • NPI: 1043435340
  • Provider Name: PETRONILO R COSTA, MD
  • Classification: Preventive Medicine - 2083P0011X
  • Specialization: Undersea and Hyperbaric Medicine
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 420 LAKE COOK RD STE 118
    DEERFIELD, IL
    ZIP 60015
  • Phone: (847) 205-0237

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NPI Details

Petronilo R Costa, MD is an undersea and hyperbaric medicine preventive medicine in Deerfield, IL. The provider is a specialist who treats decompression illness and diving accident cases and uses hyperbaric oxygen therapy to treat such conditions as carbon monoxide poisoning, gas gangrene, non-healing wounds, tissue damage from radiation and burns and bone infections. This specialist also serves as consultant to other physicians in all aspects of hyperbaric chamber operations and assesses risks and applies appropriate standards to prevent disease and disability in divers and other persons working in altered atmospheric conditions. Petronilo R Costa, MD NPI is 1043435340. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

420 LAKE COOK RD STE 118
DEERFIELD, IL
ZIP 60015-914
Phone: (847) 205-0237
Fax: (866) 735-3898

The NPI 1043435340 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Power Mobility Devices.

The enumeration date for this NPI number is 4/13/2007 and was last updated on 10/12/2016.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1208000000XPediatrics036-046-108ILLINOISNo
22080A0000XPediatricsAdolescent Medicine036-046-108ILLINOISNo
32080P0006XPediatricsDevelopmental - Behavioral Pediatrics036-046-108ILLINOISNo
42080P0008XPediatricsNeurodevelopmental Disabilities036-046-108ILLINOISNo
52084P0800XPsychiatry & NeurologyPsychiatry036-046-108ILLINOISNo
62084P0804XPsychiatry & NeurologyChild & Adolescent Psychiatry036-046-108ILLINOISNo
72083P0011XPreventive MedicineUndersea and Hyperbaric Medicine036-046-108ILLINOISYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1C43728MEDICARE UPINILLINOIS

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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