| NPI | 1366976243 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BILL OKONA Secretary 773-599-6900 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: IL 203001328) |
| Additional Taxonomies | 335E00000X Prosthetic/Orthotic Supplier (Licence: IL 203001328) |
| Enumeration Date | 2017-04-17 |
| Last Update Date | 2017-04-17 |