| 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 |