NPI | 1295894319 |
---|---|
Entity Type | Organization |
Authorized Contact | MICHAEL WILFORD Owner 773-744-1578 |
Organization Subpart ? | No |
Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: IL 203.000143) |
Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: IN 69000193A) |
Enumeration Date | 2006-12-06 |
Last Update Date | 2013-02-26 |