| NPI | 1477024347 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROMAN KRIVE Owner 847-454-7085 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Additional Taxonomies | 332BX2000X Durable Medical Equipment & Medical Supplies, Oxygen Equipment & Supplies |
| Enumeration Date | 2018-12-17 |
| Last Update Date | 2020-10-09 |