Provider Demographics
NPI:1477907731
Name:COSTEA, ANDREEA MARIA (MD)
Entity Type:Individual
Prefix:
First Name:ANDREEA
Middle Name:MARIA
Last Name:COSTEA
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:ANDREEA
Other - Middle Name:MARIA
Other - Last Name:MICU
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:1475 E BELVIDERE RD
Mailing Address - Street 2:
Mailing Address - City:GRAYSLAKE
Mailing Address - State:IL
Mailing Address - Zip Code:60030-2012
Mailing Address - Country:US
Mailing Address - Phone:312-694-0484
Mailing Address - Fax:312-694-0655
Practice Address - Street 1:1475 E BELVIDERE RD
Practice Address - Street 2:
Practice Address - City:GRAYSLAKE
Practice Address - State:IL
Practice Address - Zip Code:60030-2012
Practice Address - Country:US
Practice Address - Phone:312-694-0484
Practice Address - Fax:312-694-0655
Is Sole Proprietor?:No
Enumeration Date:2016-04-22
Last Update Date:2022-01-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program