| NPI | 1598469280 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KIMBERLY KELLEY Managing Officer 312-644-0542 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2023-03-28 |
| Last Update Date | 2023-03-28 |