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DR. JOSEPH PATRICK COSTELLO III MD
NPI 1073607651
Specialist in Swansea, IL

Active since October 03, 2006
4212 N ILLINOIS ST, SWANSEA, IL 62226(618) 233-6685(618) 233-6616 Get Directions Write a Review

NPPES record last updated: November 30, 2011. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Joseph Patrick Costello Iii Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. JOSEPH PATRICK COSTELLO III MD (NPI 1073607651) is an individual specialist in Swansea, Illinois, licensed in Illinois (036079559) and active in the NPI registry since October 2006.

NPPES Registry Identity

NPI1073607651
Entity TypeIndividualMale
Primary Taxonomy174400000X
Provider Legal NameDR. JOSEPH PATRICK COSTELLO IIICredential: MD
Location Address4212 N ILLINOIS STSwansea, IL 62226-1835
Mailing AddressPo Box 217O Fallon, IL 62269-0217 · (618) 233-6685 · Fax (618) 233-6616
Phone(618) 233-6685
Fax(618) 233-6616
Sole ProprietorYes
Enumeration DateOctober 3, 2006
Last NPPES UpdateNovember 30, 2011
✔ NPI 1073607651 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpecialistOther Service Providers
Taxonomy Code174400000X
License✔ Licensed in IL · 036079559
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
4212 N ILLINOIS ST, Swansea, IL 62226
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Other Names 1

Professional Name (2)Dr. Joseph P Costello M.d.

Other Identifiers 3

MedicaidO36079559IL
Other371390565IL · Federal Tax Id
Other432064512IL · Federal Tax Id

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

COSKIDS PEDIATRICS LTD
Pediatrics
4212 N ILLINOIS ST
SWANSEA, IL 62226
St. Clair County (618) 233-6685

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Joseph Costello's NPI number?

The NPI number for Joseph Costello is 1073607651. It was assigned to this individual provider in the NPPES registry on October 3, 2006. The provider is also known as Dr. Joseph P Costello M.D..

Where is Joseph Costello located?

Joseph Costello practices at 4212 N Illinois St, Swansea, IL 62226. The listed phone number is (618) 233-6685.

What is Joseph Costello's specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

When was this NPI record last updated?

The NPPES record for Joseph Costello was last updated on November 30, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.