| NPI | 1154347391 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAVID S. DORN President 773-794-4759 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: IL 203-000293) |
| Enumeration Date | 2006-07-14 |
| Last Update Date | 2020-08-22 |