| NPI | 1477653863 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARK ALEXANDER SORENSEN President 773-477-8993 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: MO 21394423) |
| Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2006-09-25 |
| Last Update Date | 2022-04-19 |