| NPI | 1710653225 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAVID SCHWARTZ Owner 847-519-2873 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332BC3200X Durable Medical Equipment & Medical Supplies, Customized Equipment |
| Additional Taxonomies | 261QD0000X Clinic/Center, Dental |
| Enumeration Date | 2021-08-17 |
| Last Update Date | 2021-10-12 |