| NPI | 1083068886 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRADLY THOMAS HOLLOWAY Owner 847-452-5710 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332BC3200X Durable Medical Equipment & Medical Supplies, Customized Equipment |
| Enumeration Date | 2016-04-18 |
| Last Update Date | 2016-04-19 |