| NPI | 1720167141 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SYBIL ANITA MONTGOMERY President 773-404-2148 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: IL PENDING) |
| Enumeration Date | 2006-11-05 |
| Last Update Date | 2020-08-22 |