| NPI | 1407182520 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TOMI N LANCASTER Director, Business Operations 630-705-4092 |
| Organization Subpart ? | No |
| Primary Taxonomy | 335E00000X Prosthetic/Orthotic Supplier |
| Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2009-10-23 |
| Last Update Date | 2018-08-01 |