| NPI | 1447318191 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHERYL MICHALOW Administrative Director 708-372-3154 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332BC3200X Durable Medical Equipment & Medical Supplies, Customized Equipment (Licence: IL 203000585) |
| Enumeration Date | 2006-12-05 |
| Last Update Date | 2009-08-18 |