Provider First Line Business Practice Location Address:
303 W LAKE ST
Provider Second Line Business Practice Location Address:
IMMEDIATE CARE
Provider Business Practice Location Address City Name:
ADDISON
Provider Business Practice Location Address State Name:
IL
Provider Business Practice Location Address Postal Code:
60101
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
630-527-3645
Provider Business Practice Location Address Fax Number:
331-221-3983
Provider Enumeration Date:
09/28/2011