NPI | 1265610356 |
---|---|
Entity Type | Organization |
Authorized Contact | VICTOR L WARE President 773-723-4755 |
Organization Subpart ? | No |
Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: IL 001) |
Enumeration Date | 2008-01-31 |
Last Update Date | 2022-07-21 |