| NPI | 1912291279 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | VIRGINIA GRZONKA President 847-726-8799 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: IL 203001322) |
| Enumeration Date | 2011-06-04 |
| Last Update Date | 2016-12-06 |