| NPI | 1083855167 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | EMIL TOBEY LIPSCOMB President 708-712-4863 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332BP3500X Durable Medical Equipment & Medical Supplies, Parenteral & Enteral Nutrition |
| Enumeration Date | 2009-03-18 |
| Last Update Date | 2010-02-10 |