| NPI | 1760521355 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHAEL KORSLIN Organizer 630-369-5840 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332BP3500X Durable Medical Equipment & Medical Supplies, Parenteral & Enteral Nutrition (Licence: IL 203000879) |
| Enumeration Date | 2007-02-06 |
| Last Update Date | 2020-08-22 |