Individual
LUCILLE DAMASAUSKAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
150 W HALF DAY RD, BUFFALO GROVE, IL 60089-6591
(847) 215-0000
Mailing address
75 REMITT DRIVE, LOCKBOX 1218, CHICAGO, IL 60675-1218
(866) 916-5259
(231) 922-4030
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
036-061899
IL
207P00000X
Emergency Medicine Physician
25842
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036061899-1
—
IL
Enumeration date
07/13/2006
Last updated
05/28/2010
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