| NPI | 1700402989 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DELBERT S RINQUEST Owner 847-818-9088 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332BC3200X Durable Medical Equipment & Medical Supplies, Customized Equipment |
| Enumeration Date | 2020-06-23 |
| Last Update Date | 2022-04-27 |