| NPI | 1891904249 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | YEV GRAY CEO 773-770-0140 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: IL 060008927) |
| Enumeration Date | 2007-05-22 |
| Last Update Date | 2009-07-02 |