| NPI | 1922467935 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ELIZABETH SHAW CRANDALL Secretary / Treasurer 847-403-0120 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332BC3200X Durable Medical Equipment & Medical Supplies, Customized Equipment |
| Enumeration Date | 2016-02-18 |
| Last Update Date | 2016-02-18 |