| NPI | 1770753659 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GREGORY WOOD Member 312-226-9989 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: IL 203.000989) |
| Enumeration Date | 2008-03-06 |
| Last Update Date | 2009-09-04 |