| NPI | 1457126575 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KALYAN RAJ BOLLA Authorized Official 630-473-4770 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2023-11-20 |
| Last Update Date | 2024-12-03 |