| NPI | 1760687966 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JULECE GLAUM COO 312-846-6121 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: IL 55325394) |
| Enumeration Date | 2007-06-18 |
| Last Update Date | 2020-08-22 |