| NPI | 1821088964 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOHN W KOFFEL President 847-816-8000 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332BD1200X Durable Medical Equipment & Medical Supplies, Dialysis Equipment & Supplies (Licence: IL 203000128) |
| Enumeration Date | 2005-10-27 |
| Last Update Date | 2020-08-22 |