| NPI | 1497273460 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ALAN NIELSEN Treasurer 847-315-3523 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2017-08-30 |
| Last Update Date | 2017-08-30 |