| NPI | 1942291414 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ALAN PORTER KIRK President 847-815-4895 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332BX2000X Durable Medical Equipment & Medical Supplies, Oxygen Equipment & Supplies |
| Enumeration Date | 2005-11-02 |
| Last Update Date | 2011-01-31 |