| NPI | 1922284140 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | EDWARD L OLLER Registered Agent 773-218-9566 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2008-01-17 |
| Last Update Date | 2008-01-17 |