| NPI | 1497794564 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | OLEG KACHEROV President 773-205-6993 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: IL 203.000328) |
| Enumeration Date | 2006-06-05 |
| Last Update Date | 2008-02-04 |