| NPI | 1073405387 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CARON BOLDEN Mbr Manager 630-926-5675 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2025-07-21 |
| Last Update Date | 2025-07-28 |