| NPI | 1427000355 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DREW EDWARD ROSKOS Owner/President 708-560-7316 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: IL 203.000462) |
| Enumeration Date | 2006-05-17 |
| Last Update Date | 2020-08-22 |