| NPI | 1053062224 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WILLIAM CRATES Director, Regulatory Compliance Bd 630-340-7864 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2022-01-10 |
| Last Update Date | 2022-01-11 |