NPI | 1457596124 |
---|---|
Entity Type | Organization |
Authorized Contact | PAUL MERRICK Chairman Of The Board 630-790-1221 |
Organization Subpart ? | Yes |
Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: IL 042000124) |
Additional Taxonomies | 335E00000X Prosthetic/Orthotic Supplier (Licence: IL 042000124) |
Enumeration Date | 2008-12-10 |
Last Update Date | 2023-10-13 |