Provider First Line Business Practice Location Address:
SCHNECK PRIMARY CARE - JACKSON PARK
Provider Second Line Business Practice Location Address:
1124 MEDICAL PLACE
Provider Business Practice Location Address City Name:
SEYMOUR
Provider Business Practice Location Address State Name:
IN
Provider Business Practice Location Address Postal Code:
47274
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
812-522-1613
Provider Business Practice Location Address Fax Number:
812-522-6694
Provider Enumeration Date:
08/30/2010