Provider First Line Business Practice Location Address:
230 E IRVING PARK RD
Provider Second Line Business Practice Location Address:
ELMHURST MEMORIAL HEALTHCARE
Provider Business Practice Location Address City Name:
WOOD DALE
Provider Business Practice Location Address State Name:
IL
Provider Business Practice Location Address Postal Code:
60191-2039
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
630-285-2010
Provider Business Practice Location Address Fax Number:
630-285-2011
Provider Enumeration Date:
10/02/2012