| NPI | 1366671984 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LATA JAIN Owner 847-452-9659 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: IL 147001053) |
| Enumeration Date | 2009-07-02 |
| Last Update Date | 2009-07-02 |