Provider First Line Business Practice Location Address:
3333 GREEN BAY ROAD, 1.363A-BSB
Provider Second Line Business Practice Location Address:
MEDICINE RESIDENCY ADMINISTRATOR-CHICAGO MEDICAL SCHOOL
Provider Business Practice Location Address City Name:
NORTH CHICAGO
Provider Business Practice Location Address State Name:
IL
Provider Business Practice Location Address Postal Code:
60064
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
847-578-3227
Provider Business Practice Location Address Fax Number:
847-578-8778
Provider Enumeration Date:
04/27/2023