Provider First Line Business Practice Location Address:
FAMILY SERVICE
Provider Second Line Business Practice Location Address:
777 CENTRAL AVE
Provider Business Practice Location Address City Name:
HIGHLAND PARK
Provider Business Practice Location Address State Name:
IL
Provider Business Practice Location Address Postal Code:
60035
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
847-615-4303
Provider Business Practice Location Address Fax Number:
847-615-3526
Provider Enumeration Date:
01/16/2007