Provider First Line Business Mailing Address:
UNIVERSITY OF ILLINOIS AT CHICAGO-DEPT. OF PSYCHIATRY
Provider Second Line Business Mailing Address:
912 S. WOOD STREET, MC 913
Provider Business Mailing Address City Name:
CHICAGO
Provider Business Mailing Address State Name:
IL
Provider Business Mailing Address Postal Code:
60612-4300
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
312-996-6217
Provider Business Mailing Address Fax Number: