| NPI | 1194385765 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JEFF BLAIR Authorized Representative 312-598-2630 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2019-06-17 |
| Last Update Date | 2022-08-15 |