| NPI | 1659690063 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JAMES EDWARD DOMINGO President 773-818-8166 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2010-05-25 |
| Last Update Date | 2010-05-25 |