Provider First Line Business Practice Location Address:
820 S DAMEN AVE
Provider Second Line Business Practice Location Address:
SOCIAL WORK SERVICE (122)
Provider Business Practice Location Address City Name:
CHICAGO
Provider Business Practice Location Address State Name:
IL
Provider Business Practice Location Address Postal Code:
60612-3728
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
312-569-8387
Provider Business Practice Location Address Fax Number:
312-569-8611
Provider Enumeration Date:
09/17/2010