Provider First Line Business Practice Location Address:
190 PROSPECT AVENUE
Provider Second Line Business Practice Location Address:
ELMHURST COLLEGE WELLNESS CENTER
Provider Business Practice Location Address City Name:
ELMHURST
Provider Business Practice Location Address State Name:
IL
Provider Business Practice Location Address Postal Code:
60126
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
630-617-3565
Provider Business Practice Location Address Fax Number:
630-617-3255
Provider Enumeration Date:
09/05/2006