| NPI | 1306018965 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JEFFREY J. BETMAN President 773-745-1919 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Additional Taxonomies | 213E00000X Podiatrist |
| Enumeration Date | 2008-03-24 |
| Last Update Date | 2025-08-11 |