Individual
DAMIAN GRESS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
943 W 14TH PL, UNIT 2 B, CHICAGO, IL 60608-2287
(224) 217-1744
Mailing address
65 DROVERS LN, FAIRVIEW, NC 28730-8833
(224) 217-1744
Taxonomy
Speciality
Code
Description
License number
State
208200000X
Plastic Surgery Physician
Primary
036076926
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
036076926
NONE
IL
Enumeration date
08/04/2014
Last updated
08/04/2014
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