| NPI | 1831382654 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARIA I MAYORGA Medicare Biller 312-829-8904 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332BC3200X Durable Medical Equipment & Medical Supplies, Customized Equipment |
| Enumeration Date | 2007-08-24 |
| Last Update Date | 2007-08-24 |