Individual
CHRISTOPHER J DAMM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
611 W PARK ST, URBANA, IL 61801-2501
(217) 383-3210
Mailing address
611 W PARK ST, FAPC, URBANA, IL 61801-2500
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
036163667
IL
207RC0000X
Cardiovascular Disease Physician
306559
LA
208M00000X
Hospitalist Physician
MD20411
ME
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
E400198192
PTAN
—
Enumeration date
11/04/2011
Last updated
02/16/2024
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