| NPI | 1700595089 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | IRMA CONTRERAS Credentialing Manager 630-296-2222 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2022-11-16 |
| Last Update Date | 2022-11-16 |