| NPI | 1194502393 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DELBERT S RINQUEST Owner 847-818-9088 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332BC3200X Durable Medical Equipment & Medical Supplies Customized Equipment |
| Enumeration Date | 2023-09-11 |
| Last Update Date | 2023-09-11 |