IndividualActive
Aaron Costerisan, M.D.
NPI 1396975736 · Family Medicine Physician · Peoria, IL
Provider details
- NPI number
- 1396975736
- Entity type
- Individual
- Primary specialty
- Family Medicine PhysicianAllopathic & Osteopathic Physicians
- Credential
- M.D.
- Sex
- Male
- Sole proprietor
- No
- License
- 036.130338 (IL)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Practice location
815 Main St Ste a
Peoria, IL 61602-1080
Phone: (309) 672-4977
Approximate (ZIP-level) locationGet directions
Mailing address
815 Main St Ste a
Peoria, IL 61602-1080
Registry dates
- Enumerated
- 2009-07-20
- Last updated
- 2017-11-01
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.