Provider First Line Business Practice Location Address:
THOREK MEMORIAL HOSPITAL
Provider Second Line Business Practice Location Address:
850 W. IRVING PARK ROAD
Provider Business Practice Location Address City Name:
CHICAGO
Provider Business Practice Location Address State Name:
IL
Provider Business Practice Location Address Postal Code:
60613-3098
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
773-525-6780
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
04/24/2007