Provider First Line Business Practice Location Address:
1611 W. HARRISON ST
Provider Second Line Business Practice Location Address:
STE #400 MIDWEST ORTHOPAEDICS AT RUSH, LLC
Provider Business Practice Location Address City Name:
CHICAGO
Provider Business Practice Location Address State Name:
IL
Provider Business Practice Location Address Postal Code:
60612
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
312-243-4244
Provider Business Practice Location Address Fax Number:
312-942-1517
Provider Enumeration Date:
10/06/2009