| NPI | 1891204517 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RACHEL LYN AUBE Credentialing 708-623-8200 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: CO OPT.1446) |
| Enumeration Date | 2017-09-26 |
| Last Update Date | 2019-06-11 |