Provider First Line Business Practice Location Address:
UNIVERSITY OF ILLINOIS CENTER FOR LUNG HEALTH
Provider Second Line Business Practice Location Address:
1801 W TAYLOR, SUITE 3C
Provider Business Practice Location Address City Name:
CHICAGO
Provider Business Practice Location Address State Name:
IL
Provider Business Practice Location Address Postal Code:
60612-4325
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
312-996-2740
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
02/24/2012