Provider First Line Business Practice Location Address:
RUSH UNIVERSITY MEDICAL CENTER
Provider Second Line Business Practice Location Address:
1750 W. HARRISON ST. JELKE 213
Provider Business Practice Location Address City Name:
CHICAGO
Provider Business Practice Location Address State Name:
IL
Provider Business Practice Location Address Postal Code:
60637-3825
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
312-942-5440
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
07/19/2006