| NPI | 1063968485 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KEVIN L BOYD Owner 312-988-9855 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: IL 019021037) |
| Enumeration Date | 2016-08-26 |
| Last Update Date | 2016-08-26 |