| NPI | 1629146014 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TODD POULOS Vice President 312-275-7006 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332BC3200X Durable Medical Equipment & Medical Supplies, Customized Equipment (Licence: IL 203.000565) |
| Enumeration Date | 2006-12-01 |
| Last Update Date | 2012-09-26 |