| NPI | 1578931051 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LENA PRIDACHA Office Manager 224-578-5237 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: IL 203.001690) |
| Enumeration Date | 2015-09-14 |
| Last Update Date | 2019-12-27 |