| NPI | 1225153323 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PATRICK UDONKANG President 708-687-8340 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: IL 203.000665) |
| Additional Taxonomies | 343800000X Secured Medical Transport (VAN) (Licence: IL 203.000665) |
| 343900000X Non-emergency Medical Transport (VAN) (Licence: IL 203.000665) | |
| Enumeration Date | 2007-03-20 |
| Last Update Date | 2009-06-16 |