| NPI | 1629210091 |
|---|---|
| Other Name | BRONZEVILLE PARK-OXY |
| Entity Type | Organization |
| Authorized Contact | REUVEN LEVITIN Patient Accounts Manager 847-745-6240 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332BX2000X Durable Medical Equipment & Medical Supplies, Oxygen Equipment & Supplies (Licence: IL 0040592) |
| Enumeration Date | 2009-04-01 |
| Last Update Date | 2009-04-01 |