| NPI | 1144488156 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | IVAN M CASTRO Owner 773-640-0727 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: IL 1905338) |
| Enumeration Date | 2008-05-27 |
| Last Update Date | 2009-11-06 |