| NPI | 1750635348 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ERNEST EDWARD ELLISON President 312-243-0583 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: IL 203001516) |
| Enumeration Date | 2012-11-03 |
| Last Update Date | 2012-11-03 |