DoctorLicensePro

Dr. Dennis D Costerisan, D.O.

Family Medicine

NPI: 1578565701 Illinois
76/100
GoodTrusted

Trust Score based on license status, disciplinary record, board certification, experience, and data freshness.

Score Breakdown

License Status15/30

unknown

Disciplinary Record25/25

0 action(s)

Board Certification15/20

Not verified

Years in Practice15/15

21 years

Data Freshness6/10

Updated 1618 days ago

License Status

IllinoisActive
License #

036071025

Issued

Jun 24, 1985

Expires

Jul 31, 2026

Practice Information

Address
320 E CENTRAL AVE
DECATUR, IL 62521
Phone
(217) 877-9117
In Practice Since
June 1, 2005
Data Last Updated
January 25, 2022

NPI Details

NPI Number
1578565701
Status
Active
Taxonomy Code
207Q00000X
Data sourced from CMS NPPES public database. Last verified: January 25, 2022. Report an error