| NPI | 1922205624 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | POLINA BODNYA President 847-520-8240 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: IL 203000744) |
| Enumeration Date | 2007-06-27 |
| Last Update Date | 2020-08-22 |