Provider First Line Business Practice Location Address:
1200 W HARRISON ST
Provider Second Line Business Practice Location Address:
UIC COUNSELING CENTER (MC 333), 2010 SSB
Provider Business Practice Location Address City Name:
CHICAGO
Provider Business Practice Location Address State Name:
IL
Provider Business Practice Location Address Postal Code:
60607-3320
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
312-996-3490
Provider Business Practice Location Address Fax Number:
312-996-7645
Provider Enumeration Date:
07/21/2006