Provider First Line Business Practice Location Address:
8311 W ROOSEVELT RD
Provider Second Line Business Practice Location Address:
ADVANCED PSYCHIATRIC SERVICES
Provider Business Practice Location Address City Name:
FOREST PARK
Provider Business Practice Location Address State Name:
IL
Provider Business Practice Location Address Postal Code:
60130
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
708-488-4968
Provider Business Practice Location Address Fax Number:
708-366-1017
Provider Enumeration Date:
05/16/2008