| NPI | 1720497910 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRIAN T. EVANS Owner 630-980-3898 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332BC3200X Durable Medical Equipment & Medical Supplies, Customized Equipment (Licence: IL 019-020133) |
| Enumeration Date | 2014-08-13 |
| Last Update Date | 2015-07-14 |