Individual
DAMON C. GREEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
812 N LOGAN AVE, ANESTHESIA, DANVILLE, IL 61832-3752
(217) 477-2940
(217) 477-2936
Mailing address
812 N LOGAN AVE, ANESTHESIA, DANVILLE, IL 61832-3752
(217) 477-2940
(217) 477-2936
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
036109916
IL
Other
Enumeration date
08/15/2005
Last updated
07/08/2007
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