Provider First Line Business Practice Location Address:
1100 E NORRIS DRIVE DEPT OF PATHOLOGY
Provider Second Line Business Practice Location Address:
OTTAWA REGIONAL HOSPITAL & HEALTHCARE CENTER
Provider Business Practice Location Address City Name:
OTTAWA
Provider Business Practice Location Address State Name:
IL
Provider Business Practice Location Address Postal Code:
61350-1604
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
815-434-5500
Provider Business Practice Location Address Fax Number:
815-434-2939
Provider Enumeration Date:
12/27/2007