| NPI | 1386132520 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHIQUITA LEE CEO 312-340-8826 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Additional Taxonomies | 332BN1400X Durable Medical Equipment & Medical Supplies Nursing Facility Supplies |
| 332BP3500X Durable Medical Equipment & Medical Supplies Parenteral & Enteral Nutrition | |
| Enumeration Date | 2018-04-24 |
| Last Update Date | 2025-02-18 |