| NPI | 1902550007 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KATIE WATKINS Director Of Credentialing 630-296-2222 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2022-02-08 |
| Last Update Date | 2022-02-08 |