Provider First Line Business Practice Location Address:
LAGRANGE HOSPITAL AMBULATORY CARE
Provider Second Line Business Practice Location Address:
5101 S WILLOW SPRINGS RD.
Provider Business Practice Location Address City Name:
LAGRANGE
Provider Business Practice Location Address State Name:
IL
Provider Business Practice Location Address Postal Code:
60525
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
630-910-8977
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
05/15/2007