Provider First Line Business Practice Location Address:
4701 NORTH CUMBERLAND AVE
Provider Second Line Business Practice Location Address:
STE 1 3A CUMBERLAND PHYSICAL MEDICINE
Provider Business Practice Location Address City Name:
NORRIDGE
Provider Business Practice Location Address State Name:
IL
Provider Business Practice Location Address Postal Code:
60706
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
708-452-4444
Provider Business Practice Location Address Fax Number:
708-452-7090
Provider Enumeration Date:
11/08/2006