Provider First Line Business Practice Location Address:
3701 DOTY RD
Provider Second Line Business Practice Location Address:
LAKE / MCHENRY PATHOLOGY ASSOCIATES, LTD.
Provider Business Practice Location Address City Name:
WOODSTOCK
Provider Business Practice Location Address State Name:
IL
Provider Business Practice Location Address Postal Code:
60098-7509
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
815-344-5555
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
07/22/2006