| NPI | 1407920473 |
|---|---|
| Doing Business As | MATT WINDHAM JR |
| Entity Type | Organization |
| Authorized Contact | MATT WINDHAM Owner 773-288-2844 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2006-11-20 |
| Last Update Date | 2008-03-28 |