MEDICARE: DAMIAN RASHAD CHAMBERLAIN MD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207K00000X	Allergy & Immunology Physician	W3241	TX
2	207K00000X	Allergy & Immunology Physician	036.164939	IL

General Provider Information

NPI Number	:	1033773338
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DAMIAN RASHAD CHAMBERLAIN MD

Provider Business Mailing Address
First Line	:	211 E ONTARIO ST STE 1000
Second Line	:
City	:	CHICAGO
State	:	IL
Zip	:	60611-3278
Country	:	US
Telephone Number	:	312-695-4147
Fax Number	:

Provider Business Practice Location Address
First Line	:	251 E HURON ST
Second Line	:
City	:	CHICAGO
State	:	IL
Zip	:	60611-2908
Country	:	US
Telephone Number	:	312-695-4147
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	04/23/2019
Last Update Date	:	02/09/2026

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