| NPI | 1912020686 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BONITA R VILLAR President 773-353-5061 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: IL 203000907) |
| Enumeration Date | 2007-04-09 |
| Last Update Date | 2010-03-04 |