Provider First Line Business Practice Location Address:
1630 W CONGRESS PARKWAY
Provider Second Line Business Practice Location Address:
RUSH HEALTH ASSOCIATES
Provider Business Practice Location Address City Name:
CHICAGO
Provider Business Practice Location Address State Name:
IL
Provider Business Practice Location Address Postal Code:
60612
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
312-563-4082
Provider Business Practice Location Address Fax Number:
312-563-4402
Provider Enumeration Date:
03/04/2009