Provider First Line Business Practice Location Address:
520 N MARSHFIELD AVE
Provider Second Line Business Practice Location Address:
ESPERANZA EARLY INTERVENTION PROGRAM
Provider Business Practice Location Address City Name:
CHICAGO
Provider Business Practice Location Address State Name:
IL
Provider Business Practice Location Address Postal Code:
60622-6731
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
312-432-3944
Provider Business Practice Location Address Fax Number:
312-432-1278
Provider Enumeration Date:
02/22/2007