Provider First Line Business Practice Location Address:
AMITA RESURRECTION MEDICAL CENTER
Provider Second Line Business Practice Location Address:
7435 W. TALCOTT AVE
Provider Business Practice Location Address City Name:
CHICAGO
Provider Business Practice Location Address State Name:
IL
Provider Business Practice Location Address Postal Code:
60631
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
773-990-6940
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
10/26/2006