| NPI | 1154860666 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHELLE COSTELLO President 708-655-8040 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2017-02-16 |
| Last Update Date | 2017-02-16 |