Provider First Line Business Practice Location Address:
201 E HURON ST. NORTHWESTERN MEMORIAL HOSPITAL
Provider Second Line Business Practice Location Address:
7-132A
Provider Business Practice Location Address City Name:
CHICAGO
Provider Business Practice Location Address State Name:
IL
Provider Business Practice Location Address Postal Code:
60611
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
312-503-8144
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
05/13/2010