| NPI | 1073733598 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PETER J POLLACHEK President 708-895-9450 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM2500X Clinic/Center, Medical Specialty |
| Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2007-04-26 |
| Last Update Date | 2013-04-18 |