| NPI | 1003150723 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NICK WRIGHT CFO 312-291-9305 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Additional Taxonomies | 335E00000X Prosthetic/Orthotic Supplier |
| Enumeration Date | 2012-11-19 |
| Last Update Date | 2021-02-02 |