| NPI | 1386069193 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MATTHEW VIDAL Managing Partner 312-914-1303 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2014-03-03 |
| Last Update Date | 2014-03-03 |