Provider First Line Business Practice Location Address:
UNIVERSITY OF ILLINOIS HOSPITAL, 1740 W. TAYLOR ST.
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
CHICAGO
Provider Business Practice Location Address State Name:
IL
Provider Business Practice Location Address Postal Code:
60612
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
708-684-5674
Provider Business Practice Location Address Fax Number:
708-684-2500
Provider Enumeration Date:
03/27/2020