| NPI | 1124309398 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JACK CHODZEN Office Manager 773-745-0391 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332BC3200X Durable Medical Equipment & Medical Supplies, Customized Equipment |
| Enumeration Date | 2011-09-01 |
| Last Update Date | 2011-09-01 |