Provider First Line Business Practice Location Address:
NAVAL HEALTH CLINIC GREAT LAKES, LABORATORY DEPT
Provider Second Line Business Practice Location Address:
3001 A SIXTH ST
Provider Business Practice Location Address City Name:
GREAT LAKES
Provider Business Practice Location Address State Name:
IL
Provider Business Practice Location Address Postal Code:
60088
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
847-688-4880
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
09/19/2005