NPI | 1215189345 |
---|---|
Entity Type | Organization |
Authorized Contact | SHIRLEY ALEXANDER Owner 773-298-9334 |
Organization Subpart ? | No |
Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: IL 1332315) |
Enumeration Date | 2008-10-21 |
Last Update Date | 2008-10-21 |