Provider First Line Business Practice Location Address:
250 E SUPERIOR ST STE 5-2261
Provider Second Line Business Practice Location Address:
PRENTICE WOMEN'S HOSPITAL
Provider Business Practice Location Address City Name:
CHICAGO
Provider Business Practice Location Address State Name:
IL
Provider Business Practice Location Address Postal Code:
60611
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
312-695-6180
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
06/23/2011