| NPI | 1770632960 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | HOLLY BETH JAUCH President 847-382-5911 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332BD1200X Durable Medical Equipment & Medical Supplies, Dialysis Equipment & Supplies (Licence: IL 203000430) |
| Enumeration Date | 2007-01-09 |
| Last Update Date | 2020-08-22 |