| NPI | 1679308761 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KAREN MATTHEWS Project Manager 773-322-6517 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2024-09-06 |
| Last Update Date | 2024-09-09 |