Provider First Line Business Practice Location Address:
1747 W ROOSEVELT RD
Provider Second Line Business Practice Location Address:
INSTITUTE FOR JUVENILE RESEARCH
Provider Business Practice Location Address City Name:
CHICAGO
Provider Business Practice Location Address State Name:
IL
Provider Business Practice Location Address Postal Code:
60608-1264
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
203-285-7283
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
06/29/2007