Provider First Line Business Practice Location Address:
1740 W TAYLOR ST
Provider Second Line Business Practice Location Address:
CLINICAL DECISION UNIT
Provider Business Practice Location Address City Name:
CHICAGO
Provider Business Practice Location Address State Name:
IL
Provider Business Practice Location Address Postal Code:
60612-7232
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
312-413-7686
Provider Business Practice Location Address Fax Number:
312-355-4100
Provider Enumeration Date:
05/17/2016