Provider First Line Business Practice Location Address:
OUTPATIENT CARE CENTER DOWNTOWN CHICAGO
Provider Second Line Business Practice Location Address:
160 E. ILLINOIS STREET
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:
312-477-2400
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
01/19/2006