Provider First Line Business Practice Location Address:
2507 N HALSTED ST
Provider Second Line Business Practice Location Address:
CHICAGO MATERNAL FETAL MEDICINE, S.C
Provider Business Practice Location Address City Name:
CHICAGO
Provider Business Practice Location Address State Name:
IL
Provider Business Practice Location Address Postal Code:
60614-9267
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
773-348-8032
Provider Business Practice Location Address Fax Number:
773-348-8042
Provider Enumeration Date:
02/23/2006