NPI | 1861737462 |
---|---|
Entity Type | Organization |
Authorized Contact | JOHN K SONG Direct Owner 773-770-5980 |
Organization Subpart ? | No |
Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: IL 036111342) |
Enumeration Date | 2012-12-07 |
Last Update Date | 2012-12-07 |