| NPI | 1265834865 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SANDRA LYNN ENSALACO President 847-312-6121 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2014-09-25 |
| Last Update Date | 2014-09-25 |