Provider First Line Business Practice Location Address:
518 LUCINDA AVE
Provider Second Line Business Practice Location Address:
NIU HEALTH SERVICES
Provider Business Practice Location Address City Name:
DEKALB
Provider Business Practice Location Address State Name:
IL
Provider Business Practice Location Address Postal Code:
60115
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
815-753-9587
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
07/19/2006