| NPI | 1093051914 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOHN LEE Managing Partner 847-647-6752 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2012-12-20 |
| Last Update Date | 2012-12-20 |