Provider First Line Business Practice Location Address:
4861 W 95TH ST
Provider Second Line Business Practice Location Address:
SOUTHWEST MANAGEMENT SYSTEMS INC.
Provider Business Practice Location Address City Name:
OAK LAWN
Provider Business Practice Location Address State Name:
IL
Provider Business Practice Location Address Postal Code:
60453
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
708-425-9096
Provider Business Practice Location Address Fax Number:
708-499-0993
Provider Enumeration Date:
08/31/2007