| NPI | 1649452913 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LEONID RAKITIN President 773-764-4339 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: IL 203-000711) |
| Enumeration Date | 2007-11-28 |
| Last Update Date | 2008-04-20 |