| NPI | 1265093983 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JEFF BLAIR Authorized Official 708-377-0738 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2019-06-24 |
| Last Update Date | 2022-08-22 |