Provider First Line Business Practice Location Address:
808 N. ROUTE,MEIJER INCORPORATED
Provider Second Line Business Practice Location Address:
COMMUNITY HEALTH SERVICES,SC DBA MEDICAL MARTS GROUP
Provider Business Practice Location Address City Name:
AURORA
Provider Business Practice Location Address State Name:
IL
Provider Business Practice Location Address Postal Code:
60504
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
630-236-6123
Provider Business Practice Location Address Fax Number:
630-236-6133
Provider Enumeration Date:
08/06/2007