Provider First Line Business Practice Location Address:
1460 N HALSTED ST STE 202
Provider Second Line Business Practice Location Address:
PRIMARY CARE MEDICAL ASSOCIATES LTD
Provider Business Practice Location Address City Name:
CHICAGO
Provider Business Practice Location Address State Name:
IL
Provider Business Practice Location Address Postal Code:
60642-2605
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
773-871-4409
Provider Business Practice Location Address Fax Number:
773-871-3608
Provider Enumeration Date:
09/11/2006