Provider First Line Business Practice Location Address:
2650 RIDGE AVE EVANSTON HOSPITAL
Provider Second Line Business Practice Location Address:
DEPT OF REHABILIATION SERVICES- ROOM 2217- LOUIS
Provider Business Practice Location Address City Name:
EVANSTON
Provider Business Practice Location Address State Name:
IL
Provider Business Practice Location Address Postal Code:
60201
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
847-570-2048
Provider Business Practice Location Address Fax Number:
847-733-5042
Provider Enumeration Date:
02/23/2016