Provider First Line Business Practice Location Address:
777 PARK AVE. WEST
Provider Second Line Business Practice Location Address:
IM HOSPITALISTS
Provider Business Practice Location Address City Name:
HIGHLAND PARK
Provider Business Practice Location Address State Name:
IL
Provider Business Practice Location Address Postal Code:
60035
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
847-926-5840
Provider Business Practice Location Address Fax Number:
847-926-5835
Provider Enumeration Date:
11/08/2010