| NPI | 1750370938 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LAWRENCE J WAYNE General Manager 630-355-5630 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332BP3500X Durable Medical Equipment & Medical Supplies, Parenteral & Enteral Nutrition |
| Enumeration Date | 2005-10-19 |
| Last Update Date | 2022-07-21 |