| NPI | 1124886072 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RICHARD GERALD HARRIS Md/ Owner 708-450-5055 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2024-03-06 |
| Last Update Date | 2024-03-06 |