Provider First Line Business Practice Location Address:
1845 S MICHIGAN AVE
Provider Second Line Business Practice Location Address:
CHICAGO INHEALTH CENTER
Provider Business Practice Location Address City Name:
CHICAGO
Provider Business Practice Location Address State Name:
IL
Provider Business Practice Location Address Postal Code:
60616
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
312-414-1088
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
10/15/2018