| NPI | 1639179526 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARK GORELIC President 773-465-5260 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: IL 203000352) |
| Enumeration Date | 2005-07-21 |
| Last Update Date | 2020-08-22 |