| NPI | 1912111626 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARSHALL MAUER President 847-679-6725 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332BP3500X Durable Medical Equipment & Medical Supplies, Parenteral & Enteral Nutrition (Licence: IL 20500078) |
| Enumeration Date | 2007-05-10 |
| Last Update Date | 2020-08-22 |