Organization Active NPI

Chris O. Costas, M.D. SC

  • Specialist
  • Evanston, IL
National Provider Identifier
1972605632
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
Legal business name
CHRIS O. COSTAS, M.D. SC
Practice address
800 Austin St
West Tower - Suite 201a
Evanston, IL 60202-3439
Phone
(847) 866-6338
Fax
(847) 491-1392
NPI assigned
Sep 2, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Tonia Swoope
Title
Office Manager
Phone
(847) 866-6338

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
SpecialistGroup: 193200000X MULTI-SPECIALTY GROUP 174400000X IL Primary

Addresses

Primary practice location

800 Austin St
West Tower - Suite 201a
Evanston, IL 60202-3439

Mailing address

800 Austin St
West Tower - Suite 201a
Evanston, IL 60202-3439
Phone (847) 866-6338

National Provider Directory

National Provider Directory

Locations

800 Austin St
Ste 201A-W
Evanston, IL 60202
Phone (847) 866-6338

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1157155200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1972605632",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "800 AUSTIN ST",
            "address_2": "WEST TOWER - SUITE 201A",
            "city": "EVANSTON",
            "state": "IL",
            "postal_code": "602023439",
            "telephone_number": "847-866-6338",
            "fax_number": "847-491-1392"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "800 AUSTIN ST",
            "address_2": "WEST TOWER - SUITE 201A",
            "city": "EVANSTON",
            "state": "IL",
            "postal_code": "602023439",
            "telephone_number": "847-866-6338",
            "fax_number": "847-491-1392"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHRIS O. COSTAS, M.D. SC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-02",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "SWOOPE",
        "authorized_official_first_name": "TONIA",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "847-866-6338"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Specialist",
            "state": "IL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Evanston, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.