Provider First Line Business Practice Location Address:
DEPARTMENT OF COMM SCIENCES & DIS
Provider Second Line Business Practice Location Address:
CAMPUS BOX 4720, ILLINOIS STATE UNIVERSITY
Provider Business Practice Location Address City Name:
NORMAL
Provider Business Practice Location Address State Name:
IL
Provider Business Practice Location Address Postal Code:
61790-4720
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
309-438-3960
Provider Business Practice Location Address Fax Number:
309-438-5221
Provider Enumeration Date:
08/09/2012