| NPI | 1205083383 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRADLEY ETHAN RUFF Owner 847-295-0001 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: IL 036062774) |
| Enumeration Date | 2008-08-20 |
| Last Update Date | 2011-12-23 |