| NPI | 1861187585 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LAHSIB SHAF Manager Operations 773-986-6040 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2023-04-07 |
| Last Update Date | 2023-04-07 |