| NPI | 1174768691 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PAUL MERRICK Chairman Of The Board 630-790-1221 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: IL 042000124) |
| Additional Taxonomies | 335E00000X Prosthetic/Orthotic Supplier (Licence: IL 042000124) |
| Enumeration Date | 2008-12-12 |
| Last Update Date | 2023-10-12 |