| NPI | 1659473718 |
|---|---|
| Other Name | GOTTIEB MEMORIAL DME |
| Entity Type | Organization |
| Authorized Contact | ELLYN CHIN Vice President Of Finance 708-681-3200 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: IL 0005561) |
| Enumeration Date | 2006-09-01 |
| Last Update Date | 2011-10-19 |