Provider First Line Business Practice Location Address:
2542 W NORTH AVE
Provider Second Line Business Practice Location Address:
COMMUNITY COUNSELING CENTER OF CHICAGO
Provider Business Practice Location Address City Name:
CHICAGO
Provider Business Practice Location Address State Name:
IL
Provider Business Practice Location Address Postal Code:
60647-5216
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
773-769-0205
Provider Business Practice Location Address Fax Number:
773-365-3091
Provider Enumeration Date:
10/20/2010