| NPI | 1568657708 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARIANNA PROZUMENT Owner 847-577-8301 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: IL 203000946) |
| Enumeration Date | 2007-09-11 |
| Last Update Date | 2008-04-20 |