Provider First Line Business Practice Location Address:
607 4TH STREET
Provider Second Line Business Practice Location Address:
ELDORADO RURAL HEALTH CLINIC
Provider Business Practice Location Address City Name:
ELDORADO
Provider Business Practice Location Address State Name:
IL
Provider Business Practice Location Address Postal Code:
62930
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
618-273-9328
Provider Business Practice Location Address Fax Number:
618-273-2726
Provider Enumeration Date:
10/25/2006