| NPI | 1760200729 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AVROHOM ELLINSON Member 224-269-5625 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332BC3200X Durable Medical Equipment & Medical Supplies, Customized Equipment |
| Enumeration Date | 2024-09-30 |
| Last Update Date | 2024-09-30 |