Provider First Line Business Practice Location Address:
350 N. WALL STREET
Provider Second Line Business Practice Location Address:
SENIOR BEHAVIORAL UNIT
Provider Business Practice Location Address City Name:
KANKAKEE
Provider Business Practice Location Address State Name:
IL
Provider Business Practice Location Address Postal Code:
60901
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
915-932-4100
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
03/17/2023