| NPI | 1093370975 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARK ALEXANDER SORENSEN President 773-477-8993 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2019-05-06 |
| Last Update Date | 2019-05-06 |