| NPI | 1265106884 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHAEL NEWMAN Managing Director 815-914-9892 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332BC3200X Durable Medical Equipment & Medical Supplies Customized Equipment |
| Enumeration Date | 2021-08-06 |
| Last Update Date | 2021-08-06 |