Provider First Line Business Practice Location Address:
1747 WEST ROOSEVELT RD
Provider Second Line Business Practice Location Address:
INSTITUTE FOR JUVENIL RESEARCH
Provider Business Practice Location Address City Name:
CHICAGO
Provider Business Practice Location Address State Name:
IL
Provider Business Practice Location Address Postal Code:
60608
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
312-413-9354
Provider Business Practice Location Address Fax Number:
312-355-1555
Provider Enumeration Date:
04/08/2014