Provider First Line Business Practice Location Address:
NORTH SHORE PEDIATRIC THERAPY- DEERFIELD
Provider Second Line Business Practice Location Address:
707 LAKE COOK ROAD SUITE 312
Provider Business Practice Location Address City Name:
DEERFIELD
Provider Business Practice Location Address State Name:
IL
Provider Business Practice Location Address Postal Code:
60015
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
877-985-3601
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
06/19/2019