Provider First Line Business Practice Location Address:
1901 W. HARRISON STREET
Provider Second Line Business Practice Location Address:
JHS JR. HOSPITAL OF COOK COUNTY, DEPT. OF PSYCHIATRY
Provider Business Practice Location Address City Name:
CHICAGO
Provider Business Practice Location Address State Name:
IL
Provider Business Practice Location Address Postal Code:
60612-3714
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
312-864-8000
Provider Business Practice Location Address Fax Number:
312-864-8014
Provider Enumeration Date:
12/15/2008