Provider First Line Business Practice Location Address:
718 GLENVIEW AVE
Provider Second Line Business Practice Location Address:
EMERGENCY DEPARTMENT
Provider Business Practice Location Address City Name:
HIGHLAND PARK
Provider Business Practice Location Address State Name:
IL
Provider Business Practice Location Address Postal Code:
60035
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
847-480-3751
Provider Business Practice Location Address Fax Number:
847-480-3964
Provider Enumeration Date:
12/05/2006