| NPI | 1528397478 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JEFFREY MANUEL TIOCO Owner/Physician 312-399-3896 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: IN 01054586A) |
| Enumeration Date | 2009-12-23 |
| Last Update Date | 2009-12-23 |