Provider First Line Business Practice Location Address:
RED BUD ILLINOIS HOSPITAL COMANY LLC
Provider Second Line Business Practice Location Address:
325 SPRING ST
Provider Business Practice Location Address City Name:
RED BUD
Provider Business Practice Location Address State Name:
IL
Provider Business Practice Location Address Postal Code:
62278
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
618-282-7373
Provider Business Practice Location Address Fax Number:
618-282-7376
Provider Enumeration Date:
03/22/2011