Provider First Line Business Practice Location Address:
ROSELAND NEIGHBORHOOD HEALTH CENTER
Provider Second Line Business Practice Location Address:
200 E 115TH STREET
Provider Business Practice Location Address City Name:
CHICAGO
Provider Business Practice Location Address State Name:
IL
Provider Business Practice Location Address Postal Code:
60628
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
312-747-9500
Provider Business Practice Location Address Fax Number:
312-747-2841
Provider Enumeration Date:
08/15/2005