Provider First Line Business Practice Location Address:
255 E CHICAGO AVENUE
Provider Second Line Business Practice Location Address:
LURIE CHILDREN'S HOSPITAL #50 DIVISION OF RHEUMATOLOGY
Provider Business Practice Location Address City Name:
CHICAGO
Provider Business Practice Location Address State Name:
IL
Provider Business Practice Location Address Postal Code:
60611
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
312-227-6270
Provider Business Practice Location Address Fax Number:
312-227-9417
Provider Enumeration Date:
08/15/2006