Provider First Line Business Practice Location Address:
3015 17 N MILWAUKEE AVE
Provider Second Line Business Practice Location Address:
PHYSICIANS CARE CENTER
Provider Business Practice Location Address City Name:
CHICAGO
Provider Business Practice Location Address State Name:
IL
Provider Business Practice Location Address Postal Code:
60618
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
773-278-6050
Provider Business Practice Location Address Fax Number:
773-278-4843
Provider Enumeration Date:
08/22/2006