| NPI | 1487634580 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RYAN J CALDWELL President 847-298-7107 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332BC3200X Durable Medical Equipment & Medical Supplies, Customized Equipment (Licence: IL 211-000074) |
| Enumeration Date | 2006-01-17 |
| Last Update Date | 2020-08-22 |