Provider First Line Business Practice Location Address:
UNIVERSITY OF CHICAGO MEDICAL CENTER
Provider Second Line Business Practice Location Address:
5758 S. MARYLAND AVENUE, MC 9020
Provider Business Practice Location Address City Name:
CHICAGO
Provider Business Practice Location Address State Name:
IL
Provider Business Practice Location Address Postal Code:
60637
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
773-702-1923
Provider Business Practice Location Address Fax Number:
773-795-8346
Provider Enumeration Date:
04/28/2008