| NPI | 1386692507 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARCI HALPERT President 847-677-7240 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332BP3500X Durable Medical Equipment & Medical Supplies, Parenteral & Enteral Nutrition (Licence: IL 203000724) |
| Enumeration Date | 2006-05-04 |
| Last Update Date | 2007-11-15 |