| NPI | 1467458240 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | J. DAVID BESHOAR President 847-359-4607 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332BC3200X Durable Medical Equipment & Medical Supplies, Customized Equipment (Licence: IL 203-000245) |
| Enumeration Date | 2005-06-25 |
| Last Update Date | 2018-06-16 |