Provider First Line Business Practice Location Address:
1424 W 87TH ST
Provider Second Line Business Practice Location Address:
FAMILY MEDICAL CENTER
Provider Business Practice Location Address City Name:
CHICAGO
Provider Business Practice Location Address State Name:
IL
Provider Business Practice Location Address Postal Code:
60620-4012
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
773-874-6000
Provider Business Practice Location Address Fax Number:
773-238-8833
Provider Enumeration Date:
08/03/2006