Provider First Line Business Practice Location Address:
LA RABIDA HOSPITAL
Provider Second Line Business Practice Location Address:
EAST 65TH STREET AT LAKE MICHIGAN
Provider Business Practice Location Address City Name:
CHICAGO
Provider Business Practice Location Address State Name:
IL
Provider Business Practice Location Address Postal Code:
60649
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
773-363-6700
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
06/23/2006