| NPI | 1487627154 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SUBHASH RAO President 630-963-6912 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208D00000X General Practice |
| Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: IL 0590240001) |
| Enumeration Date | 2006-02-10 |
| Last Update Date | 2022-07-21 |