| NPI | 1295858231 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BENJAMIN C ANYASOR CEO 773-722-9508 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: IL 001) |
| Enumeration Date | 2007-04-06 |
| Last Update Date | 2022-07-21 |