Active NPI
Chris O Costas, M.D.
- Infectious Disease Physician
- Chicago, IL
National Provider Identifier
1992732630
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Infectious Disease Physician
- License
- 036067703
- Practice address
- 6500 N Clark St
Chicago, IL 60626-4097 - Phone
- (847) 866-6338
- Fax
- (847) 491-1392
- NPI assigned
- Jun 27, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Infectious Disease Physician | 207RI0200X | 03666073 | IL | |
| Infectious Disease Physician | 207RI0200X | 036067703 | IL | Primary |
Addresses
Primary practice location
6500 N Clark St
Chicago, IL 60626-4097
Mailing address
546 W Wellington Ave Apt 2W
Chicago, IL 60657-0497
Phone (773) 671-1503
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 036067703 | IL | MD | Infectious Disease Physician |
| 03666073 | IL | MD | Infectious Disease Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Howard Brown Health Center | Current | Accepting new patients | |
| Carlos H Zambrano MD LLC | Infectious Disease | Current | Accepting new patients |
| Howard Brown Health Center | Current | Accepting new patients | |
| Howard Brown Health Center | Current | Accepting new patients | |
| Howard Brown Health Center | Past | Accepting new patients |
Locations
1431 N Claremont Ave
Chicago, IL 60622
Phone (312) 491-5498
4025 N Sheridan Rd
Chicago, IL 60613
Phone (773) 388-1800
6500 N Clark St
Chicago, IL 60626
Phone (773) 681-5033
Organizations & group practices 5
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Infectious Disease Physician
- Chicago, IL
- NPI 1467477257
-
- Federally Qualified Health Center (FQHC)
- Chicago, IL
- NPI 1306048632
-
- Federally Qualified Health Center (FQHC)
- Chicago, IL
- NPI 1427523125
-
- Federally Qualified Health Center (FQHC)
- Chicago, IL
- NPI 1912382227
-
- Health Educator
- Chicago, IL
- NPI 1811824121
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1151366400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1613433600000",
"number": "1992732630",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "546 W WELLINGTON AVE APT 2W",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606570497",
"telephone_number": "773-671-1503"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6500 N CLARK ST",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606264097",
"telephone_number": "847-866-6338",
"fax_number": "847-491-1392"
}
],
"practiceLocations": [],
"basic": {
"last_name": "COSTAS",
"first_name": "CHRIS",
"middle_name": "O",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-06-27",
"last_updated": "2021-02-16",
"certification_date": "2021-02-16",
"status": "A"
},
"taxonomies": [
{
"code": "207RI0200X",
"taxonomy_group": "",
"desc": "Internal Medicine, Infectious Disease",
"state": "IL",
"license": "03666073",
"primary": false
},
{
"code": "207RI0200X",
"taxonomy_group": "",
"desc": "Internal Medicine, Infectious Disease",
"state": "IL",
"license": "036067703",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Chicago, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 16, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.