| NPI | 1104912138 |
|---|---|
| Doing Business As | MIRACLE MEDICAL SUPPLY |
| Entity Type | Organization |
| Authorized Contact | DMITRY FELDMAN Owner 847-276-2838 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332BC3200X Durable Medical Equipment & Medical Supplies, Customized Equipment (Licence: IL 203.000484) |
| Enumeration Date | 2006-10-05 |
| Last Update Date | 2008-04-20 |