| NPI | 1417824616 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SALEEM KHAN Manager 312-451-0434 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Additional Taxonomies | 291U00000X Clinical Medical Laboratory |
| Enumeration Date | 2025-10-21 |
| Last Update Date | 2025-10-23 |