Provider First Line Business Practice Location Address:
RUSH UNIVERSITY MEDICAL CENTER
Provider Second Line Business Practice Location Address:
1650 W. HARRISON ST. SUITE 466 ATRIUM
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:
847-401-5294
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
04/10/2012