Individual
GREGORY A DUMANIAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
259 E ERIE ST STE 20-2060, CHICAGO, IL 60611-2987
(312) 695-6022
(312) 695-5672
Mailing address
680 N LAKE SHORE DR, SUITE 1000, CHICAGO, IL 60611-4546
(312) 695-6022
(312) 695-5672
Taxonomy
Speciality
Code
Description
License number
State
2086S0122X
Plastic and Reconstructive Surgery Physician
Primary
036091634
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036091634
—
IL
Enumeration date
07/03/2006
Last updated
01/13/2025
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