Individual
DR. STEVEN J DAMORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
109 W UNIVERSITY AVE, CHAMPAIGN, IL 61820-3909
(217) 366-5180
(217) 366-6106
Mailing address
101 W UNIVERSITY AVE, CHAMPAIGN, IL 61820-3909
(217) 366-5180
(217) 366-6106
Taxonomy
Speciality
Code
Description
License number
State
2085R0001X
Radiation Oncology Physician
Primary
036139386
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00A556630
—
CA
01
—
A55663
LICENSE
CA
Enumeration date
08/10/2006
Last updated
03/07/2023
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