| NPI | 1073897211 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GENE H. SHERMAN Doctor 847-658-3400 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332BC3200X Durable Medical Equipment & Medical Supplies, Customized Equipment (Licence: IL 019017893) |
| Enumeration Date | 2011-10-06 |
| Last Update Date | 2011-10-06 |