| NPI | 1184202699 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DEMETRIOS NIKOLOULIS Member 708-543-0563 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2021-03-29 |
| Last Update Date | 2021-04-22 |