| NPI | 1225216062 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | VIPUL M PATEL Doctor 219-659-9000 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: IL 016005006) |
| Enumeration Date | 2008-02-04 |
| Last Update Date | 2019-02-27 |