| NPI | 1841498979 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PAULETTE YAGER President 708-403-0010 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332BC3200X Durable Medical Equipment & Medical Supplies, Customized Equipment (Licence: IL 060004521) |
| Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: IL 060004521) |
| Enumeration Date | 2007-07-10 |
| Last Update Date | 2007-07-10 |