| NPI | 1457314130 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NEIDA MACK Vice President 847-230-8835 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: IL 203000156) |
| Enumeration Date | 2006-04-11 |
| Last Update Date | 2024-02-29 |