| NPI | 1346298932 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOHN KEVIN O'HAGAN Owner 773-404-0310 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: IL 211000114) |
| Enumeration Date | 2006-05-05 |
| Last Update Date | 2020-08-22 |