| NPI | 1568555084 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | J. DAVID BESHOAR President 847-359-4642 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: IL 203-000245) |
| Enumeration Date | 2006-10-02 |
| Last Update Date | 2020-08-22 |