| NPI | 1881107514 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MUBARAK AMINE General Manager 708-422-2300 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2017-11-16 |
| Last Update Date | 2017-11-16 |