Provider First Line Business Practice Location Address:
1901 W. HARRISON ST
Provider Second Line Business Practice Location Address:
JOHN H.STROGER, JR. HOSPITAL OF COOK COUNTRY
Provider Business Practice Location Address City Name:
CHICAGO
Provider Business Practice Location Address State Name:
IL
Provider Business Practice Location Address Postal Code:
60612-3714
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
312-864-4665
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
07/12/2006