| NPI | 1164589081 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHAHZAD KHAN Owner 708-335-2209 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: IL 203.000465) |
| Enumeration Date | 2007-01-02 |
| Last Update Date | 2009-03-04 |