Provider First Line Business Practice Location Address:
NEUROLOGY SERVICE (127)
Provider Second Line Business Practice Location Address:
BLD 1 RM F201 EDWARD HINES JR, VA HOSPITAL
Provider Business Practice Location Address City Name:
HINES
Provider Business Practice Location Address State Name:
IL
Provider Business Practice Location Address Postal Code:
60141-5000
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
708-202-2726
Provider Business Practice Location Address Fax Number:
708-202-7936
Provider Enumeration Date:
10/02/2006