| NPI | 1912549650 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PAUL BISHOP Owner 630-553-9300 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Additional Taxonomies | 213E00000X Podiatrist |
| 225100000X Physical Therapist | |
| Enumeration Date | 2019-10-15 |
| Last Update Date | 2019-10-15 |