| NPI | 1386814689 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AMANDA U CRAWFORD Owner 312-949-9844 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2008-03-04 |
| Last Update Date | 2009-06-09 |