Provider First Line Business Practice Location Address:
NORTHWESTERN UNIVERSITY, FIENBERG SCHOOL OF MEDICINE
Provider Second Line Business Practice Location Address:
303 EAST CHICAGO AVENUE
Provider Business Practice Location Address City Name:
CHICAGO
Provider Business Practice Location Address State Name:
IL
Provider Business Practice Location Address Postal Code:
60611-1005
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
312-695-0359
Provider Business Practice Location Address Fax Number:
312-695-9194
Provider Enumeration Date:
04/25/2006