| NPI | 1164740635 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ELLA RUSSO Secretary 847-632-1100 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332BX2000X Durable Medical Equipment & Medical Supplies, Oxygen Equipment & Supplies (Licence: IL 203001196) |
| Enumeration Date | 2010-05-09 |
| Last Update Date | 2010-12-21 |