| NPI | 1548056484 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CARMEL PONTE General Manager 630-935-9077 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2025-04-17 |
| Last Update Date | 2025-04-17 |