Provider First Line Business Practice Location Address:
4321 FIR ST
Provider Second Line Business Practice Location Address:
ST. CATHERINE'S HOSPITAL
Provider Business Practice Location Address City Name:
EAST CHICAGO
Provider Business Practice Location Address State Name:
IN
Provider Business Practice Location Address Postal Code:
46312-3049
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
219-836-0000
Provider Business Practice Location Address Fax Number:
219-836-2788
Provider Enumeration Date:
05/15/2008