| NPI | 1194874800 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | IBE NWOSU President 773-936-5211 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: IL 203000652) |
| Enumeration Date | 2007-01-10 |
| Last Update Date | 2008-04-20 |