| NPI | 1619632544 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHALOM LICHTMAN Manager 618-242-5700 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332BX2000X Durable Medical Equipment & Medical Supplies, Oxygen Equipment & Supplies |
| Enumeration Date | 2021-11-04 |
| Last Update Date | 2021-11-04 |