| NPI | 1316112063 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MOE HERMAN Comptroller 847-982-2300 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332BX2000X Durable Medical Equipment & Medical Supplies, Oxygen Equipment & Supplies (Licence: IL 0033589) |
| Enumeration Date | 2008-04-24 |
| Last Update Date | 2008-04-24 |