Provider First Line Business Practice Location Address:
2550 N. ANNIE GLIDDEN RD
Provider Second Line Business Practice Location Address:
FAMILY PLANNING CLINIC
Provider Business Practice Location Address City Name:
DEKALB
Provider Business Practice Location Address State Name:
IL
Provider Business Practice Location Address Postal Code:
60115-1207
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
815-748-2420
Provider Business Practice Location Address Fax Number:
815-748-2478
Provider Enumeration Date:
10/03/2008