| NPI | 1720534928 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHAUN PASSLEY President 312-955-0512 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332BC3200X Durable Medical Equipment & Medical Supplies, Customized Equipment |
| Enumeration Date | 2016-08-28 |
| Last Update Date | 2016-08-28 |