Provider First Line Business Practice Location Address:
2525 S. MICHIGAN AVE.
Provider Second Line Business Practice Location Address:
MERCY HOSPITAL AND MEDICAL CENTER
Provider Business Practice Location Address City Name:
CHICAGO
Provider Business Practice Location Address State Name:
IL
Provider Business Practice Location Address Postal Code:
60616
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
312-567-2899
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
12/08/2005