Provider First Line Business Practice Location Address:
4330 TRANS WORLD RD
Provider Second Line Business Practice Location Address:
FLYING FOOD SERVICES HEALTH CLINIC
Provider Business Practice Location Address City Name:
SCHILLER PARK
Provider Business Practice Location Address State Name:
IL
Provider Business Practice Location Address Postal Code:
60176-1707
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
847-678-6738
Provider Business Practice Location Address Fax Number:
847-678-6748
Provider Enumeration Date:
08/25/2009