Provider First Line Business Practice Location Address:
ERIE FAMILY HEALTH CENTER
Provider Second Line Business Practice Location Address:
1701 W. SUPERIOR STREET
Provider Business Practice Location Address City Name:
CHICAGO
Provider Business Practice Location Address State Name:
IL
Provider Business Practice Location Address Postal Code:
60622-5646
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
312-666-3494
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
08/21/2006