Provider First Line Business Practice Location Address:
600 S. PAULINA AAC 1080
Provider Second Line Business Practice Location Address:
RUSH UNIVERSITY MEDICAL CENTER
Provider Business Practice Location Address City Name:
CHICAGO
Provider Business Practice Location Address State Name:
IL
Provider Business Practice Location Address Postal Code:
60612
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
312-563-6830
Provider Business Practice Location Address Fax Number:
312-942-2000
Provider Enumeration Date:
11/03/2006