| NPI | 1750423760 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | VINCENT MONTANO Owner 847-800-0432 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: IL 203000612) |
| Enumeration Date | 2007-02-13 |
| Last Update Date | 2009-01-23 |