| NPI | 1922283373 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BORIS LAKE Business Manager 630-208-7735 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: IL 203.000950) |
| Enumeration Date | 2008-01-04 |
| Last Update Date | 2008-04-02 |