| NPI | 1891934956 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KIWANNA MARIE PHILLIPS President 773-710-4129 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2009-02-13 |
| Last Update Date | 2009-04-06 |