Provider First Line Business Practice Location Address:
1000 N. ALLEN STREET
Provider Second Line Business Practice Location Address:
CMH-CONSULTING CLINIC
Provider Business Practice Location Address City Name:
ROBINSON
Provider Business Practice Location Address State Name:
IL
Provider Business Practice Location Address Postal Code:
62454
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
618-546-2591
Provider Business Practice Location Address Fax Number:
618-546-2668
Provider Enumeration Date:
11/16/2006