DR. JEFFREY ALLAN DAMASCHKE


Address: 3001 6th St, Physical Therapy Department, Great Lakes, IL 60088-2833
Phone: 8476882368

DR. JEFFREY ALLAN DAMASCHKE (NPI# 1427021807) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1427021807
Entity Type Individual
Full Name DR. JEFFREY ALLAN DAMASCHKE
Credential DPT, MS, OCS
Practice Address 3001 6th St
Physical Therapy Department
Great Lakes
IL 60088-2833
Practice Telephone 8476882368
Mailing Telephone 8476882368
Enumeration Date 2006-02-08
Last Update Date 2007-07-08
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 171000000X Military Health Care Provider WI Other Service Providers

Office Location

Street Address 3001 6TH ST
PHYSICAL THERAPY DEPARTMENT
City GREAT LAKES
State IL
Zip Code 60088-2833

Providers in the same location

NPI Name Taxonomy Address Enumeration
1184610446 Myron William Yencha Otolaryngology 3001 6th St, Dept Otolaryngology, Naval Hospital, Great Lakes, IL 60088-2833 2005-09-22
1689991507 Heather Nimmagadda Nurse Practitioner 3001 6th St, Great Lakes, IL 60088-2833 2010-05-02
1811178486 Stephen Schultz Dentist 3001 6th St, Great Lakes, IL 60088-2833 2007-11-23
1245434513 John Dangca Vasquez Military Health Care Provider 3001 6th St, Great Lakes, IL 60088 2007-06-12
1396871166 Michael Philip Fee Dentist 3001 6th St, Ste A Naval Health Clinics, Great Lakes, IL 60088-2833 2007-02-26
1184773012 Orlando Lopez Physician Assistant 3001 6th St, Great Lakes, IL 60088-2833 2007-01-09
1013004928 Karen Leone General Practice 3001 6th St, Suite A, Great Lakes, IL 60088-2833 2006-10-10
1144278557 Marla Crill Heller Dietitian, Registered 3001 6th St, A, Great Lakes, IL 60088-2833 2006-05-05
1609832187 James Allen Westra Pathology 3001 6th St, Buiding 200h Laboratory, Great Lakes, IL 60088-2833 2006-04-25
1871559633 Donald Joseph Bezdek Dentist 3001 6th St, Great Lakes, IL 60088-2833 2006-04-21
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1043858228 Kathryn Ann Bird Dentist 3440 W Ohio St, Uss Osborne Branch Dental Clinic, Great Lakes, IL 60088 2019-12-18
1740775576 Jonathan William Criter Dentist 3400 Ohio St, Great Lakes, IL 60088 2018-06-25
1134598733 True Xiong Dentist Zachary & Elizabeth Fisher Medical & Dental Clinic, 2470 Sampson Street, Apo, AA 60088 2015-09-24
1447685771 Lisa Carol Perrone Dentist Fhcc Lovell Bldg 237 Dental, Navsta Great Lakes, North Chicago, IL 60088 2013-09-05
1437438421 David Lawrence Green Dentist 2410 Samson St., Bldg 237, Great Lakes, IL 60088 2011-08-09
1164730602 James A Lovell Federal Health Care Center Military/U.S. Coast Guard Pharmacy 2430 Illinois Street, Great Lakes, IL 60088 2010-09-17
1598073439 James A Lovell Federal Health Care Center Military/U.S. Coast Guard Pharmacy 2430 Illinois St, Bldg 1007, Great Lakes, IL 60088 2010-09-14
1164736302 Clinton Lariscy Military Health Care Provider 3355 Illinois St, Recruit Training Command Great Lakes, Great Lakes, IL 60088 2010-07-29
1083943906 James Doll Dentist 2608 Paul Jones St, Great Lakes, IL 60088 2009-12-24
1396996823 Kelly Robert Lanning Dentist 3001 A 6th St Bhc 237, Naval Hospital Great Lakes- Dental Dept., Great Lakes, IL 60088 2008-10-02
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Taxonomy Information

Taxonomy Code 171000000X
Grouping Other Service Providers
Classification Military Health Care Provider

Taxonomy Definition

Active duty military health care providers not otherwise classified who need to be separately identified for operational, clinical, or administrative processes.
Notes: [7/1/2005: new]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1154380947 Eden U Padilla Military Health Care Provider Uss Red Rover, Recruit Training Center, Great Lakes, IL 60088 2006-03-21
1730151069 Michael Hunter Anderson Military Health Care Provider 3001 6th St, Great Lakes, IL 60088-2833 2006-02-02

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1669869764 Benjamin Pittman Military Health Care Provider Uss Tranquility (bhc 1007), Capt James A Lovell Federal Health Care Center, North Chicago, IL 60064 2015-04-16
1346638566 Brandon C. Wagenaar Military Health Care Provider 1245 S Michigan Ave Ste 215, Chicago, IL 60605-2408 2014-12-23
1235430737 Megan Elizabeth Schelp Military Health Care Provider 5820 N Kenmore Ave, Apartment 404, Chicago, IL 60660-3765 2010-11-15
1932434339 Tasha Oakley Military Health Care Provider 104 Kenwood Ct Apt 1, Normal, IL 61761-4707 2009-10-02
1861512501 Leigh Karole Grannan Military Health Care Provider 625 Wham Dr - Mailcode 6607, Center for Autism Spectrum Disorders, Carbondale, IL 62901-4313 2007-03-29
1215033790 Jerzy Feliks Zadecki Military Health Care Provider 930 Mapleton Ave, Oak Park, IL 60302-1404 2006-09-15
1073575692 Teresita Hernandez Huang Military Health Care Provider 3450 Riverside Dr, Wilmette, IL 60091-1062 2006-04-06
1144281882 Luningning Gayapa Madamba Military Health Care Provider 5332 N Kildare Ave, Chicago, IL 60630-1759 2006-03-31
1225439045 Erin O'connor Military Health Care Provider 310 W Losey St, Scott Air Force Base, IL 62225-5250 2014-09-11
1376704783 Richard Neal Craig Military Health Care Provider 2401 W Main St, Va Medical Center, Marion, IL 62959-1188 2008-06-18
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Competitor

Search similar providers

City GREAT LAKES
Zip Code 60088

Improve Information

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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