Provider First Line Business Practice Location Address:
6337 S. WOODLAWN AVE
Provider Second Line Business Practice Location Address:
WOODLAWN HEALTH CENTER
Provider Business Practice Location Address City Name:
CHICAGO
Provider Business Practice Location Address State Name:
IL
Provider Business Practice Location Address Postal Code:
60637
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
773-753-5508
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
07/26/2006