| NPI | 1437457280 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARICAR LOGRONIO Office Manager 224-730-1642 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2011-03-03 |
| Last Update Date | 2012-07-10 |