| NPI | 1104017995 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JEREMY GOLDBERG President 773-338-4400 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: IL 203.000760) |
| Enumeration Date | 2007-08-06 |
| Last Update Date | 2009-08-05 |