| NPI | 1134264286 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STEPHEN P MILLER Mbr 312-994-2306 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332BC3200X Durable Medical Equipment & Medical Supplies, Customized Equipment (Licence: IL 203000722) |
| Enumeration Date | 2007-02-20 |
| Last Update Date | 2020-08-22 |