| NPI | 1124286927 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TIM PORCELLI Director, Chief Clinician 312-409-2175 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332BC3200X Durable Medical Equipment & Medical Supplies, Customized Equipment (Licence: IL 212.000115) |
| Enumeration Date | 2008-05-28 |
| Last Update Date | 2008-05-28 |