| NPI | 1528576139 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KHALED SALEH Chairman 217-801-2289 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: MI 4301110383) |
| Enumeration Date | 2018-01-17 |
| Last Update Date | 2018-01-17 |