| NPI | 1053469411 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ISRAEL SEIDMAN Owner 847-398-5000 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: IL 23705711) |
| Enumeration Date | 2007-01-08 |
| Last Update Date | 2020-08-22 |