| NPI | 1205043676 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KAMRAN ANIS Administrator 847-520-8240 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2007-05-16 |
| Last Update Date | 2020-08-22 |