Provider First Line Business Practice Location Address:
150 N 27TH ST
Provider Second Line Business Practice Location Address:
REHAB DEPT
Provider Business Practice Location Address City Name:
BELLEVILLE
Provider Business Practice Location Address State Name:
IL
Provider Business Practice Location Address Postal Code:
62226-6621
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
618-781-0947
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
07/11/2013