| NPI | 1730798109 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LEODIS F SCOTT Controller 773-875-5027 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Additional Taxonomies | 332BN1400X Durable Medical Equipment & Medical Supplies, Nursing Facility Supplies |
| Enumeration Date | 2020-07-30 |
| Last Update Date | 2020-07-30 |