Provider First Line Business Practice Location Address:
654 EAST 47TH ST
Provider Second Line Business Practice Location Address:
ACCESS BOOKER FAMILY 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:
60653-4224
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
773-624-4800
Provider Business Practice Location Address Fax Number:
773-624-5028
Provider Enumeration Date:
08/27/2010