| NPI | 1083837488 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SY ROSEN General Manager 847-410-2751 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332BC3200X Durable Medical Equipment & Medical Supplies, Customized Equipment (Licence: IL 213000062) |
| Enumeration Date | 2007-04-11 |
| Last Update Date | 2020-01-28 |