Provider First Line Business Practice Location Address:
1127 S YORK RD
Provider Second Line Business Practice Location Address:
ELMHURT-EDWARD WALK IN CLINIC IN JEWEL
Provider Business Practice Location Address City Name:
BENSENVILLE
Provider Business Practice Location Address State Name:
IL
Provider Business Practice Location Address Postal Code:
60106-3342
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
331-221-2830
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
02/15/2012