| NPI | 1205837820 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ALVIN CHARLES KLEIN President/Pharmacist In Charge 773-561-4486 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: IL 54004739) |
| Enumeration Date | 2005-08-04 |
| Last Update Date | 2020-08-22 |