Provider First Line Business Practice Location Address:
200 BERTEAU AVE
Provider Second Line Business Practice Location Address:
ELMHURST MEMORIAL HOSPITAL / RADIOLOGY DEPARTMENT
Provider Business Practice Location Address City Name:
ELMHURST
Provider Business Practice Location Address State Name:
IL
Provider Business Practice Location Address Postal Code:
60126-2966
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
630-941-4561
Provider Business Practice Location Address Fax Number:
630-941-4590
Provider Enumeration Date:
08/11/2005