| NPI | 1245375179 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | VICKY U ANADUMAKA Prisident 773-783-8666 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: IL 203000788) |
| Enumeration Date | 2007-02-20 |
| Last Update Date | 2008-03-11 |