| NPI | 1407025059 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DIANE SUE BUDVAITIS Manager 773-229-8818 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2008-02-28 |
| Last Update Date | 2008-02-28 |