| NPI | 1619091535 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | REX N EBO Owner 773-271-2209 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: IL 1335099) |
| Enumeration Date | 2007-03-17 |
| Last Update Date | 2020-08-22 |