| NPI | 1891332128 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | IRMA CONTRERAS Director Of Credentialing 630-296-2222 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2019-12-05 |
| Last Update Date | 2022-05-24 |