Provider First Line Business Practice Location Address:
680 N LAKESHORE DR
Provider Second Line Business Practice Location Address:
SUITE 807 ANDROLOGY LABORATORY SERVICES INC
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:
312-335-0075
Provider Business Practice Location Address Fax Number:
312-335-0076
Provider Enumeration Date:
07/02/2008