| NPI | 1205005261 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SCOTT DRAHOS President 847-756-7603 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332BC3200X Durable Medical Equipment & Medical Supplies, Customized Equipment (Licence: IL 5502-9868) |
| Enumeration Date | 2008-02-25 |
| Last Update Date | 2008-02-25 |