Provider First Line Business Practice Location Address:
ANN AND ROBERT H LURIE CHILDREN'S HOSPITAL
Provider Second Line Business Practice Location Address:
225 E CHICAGO AVENUE
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:
312-227-6440
Provider Business Practice Location Address Fax Number:
312-227-9426
Provider Enumeration Date:
11/08/2006