| Jeff Anthony Damico DO PLLC | |
|
275 N York St Ste 402 Elmhurst IL 60126-2766 | |
| (224) 430-1234 | |
| Not Available |
| Full Name | Jeff Anthony Damico DO PLLC |
|---|---|
| Speciality | Internal Medicine |
| Location | 275 N York St Ste 402, Elmhurst, Illinois |
| Authorized Official Name and Position | Jeff a Damico (OWNER) |
| Authorized Official Contact | 2244301234 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Jeff Anthony Damico DO PLLC 275 N York St Ste 402 Elmhurst IL 60126-2766 | Jeff Anthony Damico DO PLLC 275 N York St Ste 402 Elmhurst IL 60126-2766 Ph: (224) 430-1234 |
| NPI Number | 1154129112 |
|---|---|
| Provider Enumeration Date | 03/05/2025 |
| Last Update Date | 09/18/2025 |
| Certification Date | 09/18/2025 |
| Medicare PECOS PAC ID | 8123541299 |
|---|---|
| Medicare Enrollment ID | O20250328003122 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1154129112 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | () | Primary |
| Provider Name | Jeff a Damico |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1639350978 PECOS PAC ID: 2062583339 Enrollment ID: I20080612000874 |
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