Provider First Line Business Practice Location Address:
NORTHERN ILLINOIS UNIVERSITY
Provider Second Line Business Practice Location Address:
HEALTH SERVICES
Provider Business Practice Location Address City Name:
DEKALB
Provider Business Practice Location Address State Name:
IL
Provider Business Practice Location Address Postal Code:
60115-2854
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
815-753-1311
Provider Business Practice Location Address Fax Number:
815-753-9599
Provider Enumeration Date:
01/11/2006