Provider First Line Business Practice Location Address:
1901 WEST HARRISON ST
Provider Second Line Business Practice Location Address:
JOHN H STROGER JR HOSP OF COOK COUNTY
Provider Business Practice Location Address City Name:
CHICAGO
Provider Business Practice Location Address State Name:
IL
Provider Business Practice Location Address Postal Code:
60612-3714
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
312-864-4586
Provider Business Practice Location Address Fax Number:
312-864-9496
Provider Enumeration Date:
04/25/2008