| NPI | 1881743599 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | VENIAMIN DONTSIS Business Manager 847-243-2234 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: IL 203.000068) |
| Enumeration Date | 2007-01-10 |
| Last Update Date | 2021-03-23 |