| NPI | 1922177427 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | URVI PATEL Manager 773-764-0184 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: IL 203000646) |
| Enumeration Date | 2006-11-07 |
| Last Update Date | 2020-08-22 |