| NPI | 1114171477 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAVID A HOFFMAN President 773-433-3130 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: IL 036-070934) |
| Additional Taxonomies | 174400000X Specialist (Licence: IL 036-070934) |
| Enumeration Date | 2008-11-12 |
| Last Update Date | 2008-11-13 |