Provider First Line Business Practice Location Address:
1775 W DEMPSTER STREET
Provider Second Line Business Practice Location Address:
ADVOCATE LUTHERAN HOSPITAL
Provider Business Practice Location Address City Name:
PARKRIDGE
Provider Business Practice Location Address State Name:
IL
Provider Business Practice Location Address Postal Code:
60016-4993
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
708-890-8302
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
08/07/2013