| NPI | 1386221992 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | OLAJIDE ANTHONY BANKS CEO 773-567-4620 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2021-03-28 |
| Last Update Date | 2021-03-28 |