Provider First Line Business Practice Location Address:
225 E. CHICAGO AVENUE, BOX 51, DIVISION OF NEUROLOGY
Provider Second Line Business Practice Location Address:
ANN AND ROBERT H. LURIE CHILDREN'S HOSPITAL OF CHICAGO
Provider Business Practice Location Address City Name:
CHICAGO
Provider Business Practice Location Address State Name:
IL
Provider Business Practice Location Address Postal Code:
60611
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
312-227-3550
Provider Business Practice Location Address Fax Number:
312-227-9642
Provider Enumeration Date:
07/18/2012