Provider First Line Business Practice Location Address:
250 E SUPERIOR ST FL 5
Provider Second Line Business Practice Location Address:
PRENTICE WOMEN'S HOSPITAL
Provider Business Practice Location Address City Name:
CHICAGO
Provider Business Practice Location Address State Name:
IL
Provider Business Practice Location Address Postal Code:
60611-2914
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
602-320-0848
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
07/25/2016