| NPI | 1356860928 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MIGUEL JIMENEZ President 773-610-9738 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2017-09-14 |
| Last Update Date | 2017-09-14 |