Provider First Line Business Practice Location Address:
1100 E NORRIS DR, DEPT OF PATHOLOGY
Provider Second Line Business Practice Location Address:
COMMUNITY HOSPITAL OF OTTAWA
Provider Business Practice Location Address City Name:
OTTAWA
Provider Business Practice Location Address State Name:
IL
Provider Business Practice Location Address Postal Code:
61350-1604
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
815-223-4870
Provider Business Practice Location Address Fax Number:
815-223-7040
Provider Enumeration Date:
05/15/2006