NPI | 1467638023 |
---|---|
Entity Type | Organization |
Authorized Contact | KRISTIN GEAR Practice Manager 708-429-3455 |
Organization Subpart ? | No |
Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: IL 036104452) |
Enumeration Date | 2008-01-14 |
Last Update Date | 2024-03-06 |