| NPI | 1447078902 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DANIEL DOR Executive Officer 224-545-8579 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Additional Taxonomies | 163WI0500X Registered Nurse Infusion Therapy |
| 251F00000X Home Infusion | |
| Enumeration Date | 2024-10-02 |
| Last Update Date | 2024-11-11 |