| NPI | 1609087311 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROSEMARY A MARTIN Administrator 847-437-9889 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2007-05-24 |
| Last Update Date | 2008-05-21 |