| NPI | 1205416062 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TAMMISHIA LITTLE Nurse Director 773-960-1202 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251J00000X Nursing Care |
| Additional Taxonomies | 332BC3200X Durable Medical Equipment & Medical Supplies, Customized Equipment |
| Enumeration Date | 2021-04-14 |
| Last Update Date | 2024-11-08 |