| NPI | 1790227825 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CARYN FAITH MCARDLE President 847-357-8782 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: IL 203000574) |
| Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2016-11-07 |
| Last Update Date | 2019-07-15 |