Provider First Line Business Practice Location Address:
DEPT OF KINES & COM HLTH, FREER HALL 209, MC-052
Provider Second Line Business Practice Location Address:
UNIVERSITY OF ILLINOIS
Provider Business Practice Location Address City Name:
URBANA
Provider Business Practice Location Address State Name:
IL
Provider Business Practice Location Address Postal Code:
61801
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
217-333-9517
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
03/15/2007