| NPI | 1427093251 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RUDYARD SMITH Member 773-778-8800 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: IL 203.000570) |
| Enumeration Date | 2006-06-17 |
| Last Update Date | 2012-03-07 |