| NPI | 1194033688 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GLENN LEONG MANGUERRA President 773-934-3977 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2010-09-17 |
| Last Update Date | 2010-09-17 |