| NPI | 1013151612 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MIRIAM M PARRA Reimbursement Specialist 847-429-3764 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332BX2000X Durable Medical Equipment & Medical Supplies, Oxygen Equipment & Supplies (Licence: IL 203.000650) |
| Enumeration Date | 2009-04-27 |
| Last Update Date | 2018-08-17 |