| NPI | 1134921661 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TAMMISHIA LITTLE Operations Manager 773-960-1202 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 332BC3200X Durable Medical Equipment & Medical Supplies Customized Equipment |
| Additional Taxonomies | 251J00000X Nursing Care |
| 335E00000X Prosthetic/Orthotic Supplier | |
| Enumeration Date | 2025-03-25 |
| Last Update Date | 2025-03-25 |