Individual provider · Type 1 NPI

Dennis J. Costa, MD

Vascular Surgery Physician · Champaign, IL

NPI number 1477599603 Active

Practice location

101 W University Ave
Champaign, IL 61820-3981

Call (217) 366-2670 Map

Fax (217) 366-2669

Specialties and licenses

TaxonomyCodeLicense
Surgery Physician 208600000X1724-850 (WI)
Vascular Surgery Physician 2086S0129X49844 (WI)
Vascular Surgery Physician Primary 2086S0129X036177187 (IL)

Vascular Surgery Physician: A surgeon with expertise in the management of surgical disorders of the blood vessels, excluding the intracranial vessels or the heart.

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About NPI 1477599603

Dennis J. Costa, MD's National Provider Identifier is 1477599603, issued on Jun 22, 2006. The primary taxonomy on file is Vascular Surgery Physician (2086S0129X), and the practice location is in Champaign, IL. The record was last updated on Feb 17, 2026.