| NPI | 1114601291 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LACEY WEIL OGBOLUMANI Chief Executive Officer 312-933-5241 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2023-06-09 |
| Last Update Date | 2023-08-31 |