Provider First Line Business Practice Location Address:
1740 W. TAYLOR STREET, 3200 W. U OF ILLINOIS HOSPITAL
Provider Second Line Business Practice Location Address:
DEPARTMENT OF ANESTHESIOLOGY, MC515
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:
312-996-4022
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
10/31/2016