Provider First Line Business Practice Location Address:
2300 CHILDRENS PLAZA BOX # 20
Provider Second Line Business Practice Location Address:
DIVISION OF INFECTIOUS DISEASES
Provider Business Practice Location Address City Name:
CHICAGO
Provider Business Practice Location Address State Name:
IL
Provider Business Practice Location Address Postal Code:
60614
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
773-880-4949
Provider Business Practice Location Address Fax Number:
773-880-8626
Provider Enumeration Date:
08/08/2008