| NPI | 1588035851 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MIKE R RODRIGUEZ Principal 773-425-0400 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: IL 203.001676) |
| Enumeration Date | 2015-10-13 |
| Last Update Date | 2021-07-28 |