| NPI | 1467001396 |
|---|---|
| Doing Business As | LIL'S DIETARY SPECIALTY SHOP |
| Entity Type | Organization |
| Authorized Contact | MARCIE HARVEY President 773-239-0355 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2019-09-04 |
| Last Update Date | 2019-09-04 |