| NPI | 1619174018 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | OLIVIA F ACOSTA President 630-271-1911 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332BX2000X Durable Medical Equipment & Medical Supplies, Oxygen Equipment & Supplies (Licence: IL 64202804) |
| Enumeration Date | 2007-06-28 |
| Last Update Date | 2020-08-22 |