Provider First Line Business Practice Location Address:
RUSH UNIVERSITY MEDICAL CENTER - DEPT OF EMERGENCY MED
Provider Second Line Business Practice Location Address:
1750 W HARRISON ST, KELLOGG SUITE 108
Provider Business Practice Location Address City Name:
CHICAGO
Provider Business Practice Location Address State Name:
IL
Provider Business Practice Location Address Postal Code:
60612
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
312-942-7802
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
04/17/2021