Provider First Line Business Practice Location Address:
651 WEST LAKE STREET
Provider Second Line Business Practice Location Address:
CATHOLIC CHARITIES
Provider Business Practice Location Address City Name:
CHICAGO
Provider Business Practice Location Address State Name:
IL
Provider Business Practice Location Address Postal Code:
60661
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
312-655-7449
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
02/17/2010