Provider First Line Business Practice Location Address:
3001 GREENBAY ROAD
Provider Second Line Business Practice Location Address:
WOMEN'S HEALTH PRIMARY CARE CLINIC/BUILDING 133 EF
Provider Business Practice Location Address City Name:
NORTH CHICAGO
Provider Business Practice Location Address State Name:
IL
Provider Business Practice Location Address Postal Code:
60064-3048
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
224-610-7698
Provider Business Practice Location Address Fax Number:
224-610-7613
Provider Enumeration Date:
10/24/2023