Jerome Damasco, L.C.S.W

NPI 1407981632 · on the registry since 2007 · sole proprietor

Practice

Address: 1140 Lake St
Suite 302
Oak Park, IL 60301
Phone: (312) 749-7934
Fax: (847) 972-1120
Organisation at this address: Tobias Healing Institute Llc
Bridgemark Medical Supply Llc
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 10

Registry record

Primary taxonomy: 1041C0700X
1041C0700X
Licence states on file: IL
From the registry's licence fields, which are often incomplete.
Sex: Male
Record last updated: 2007-07-08

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Illinois