| NPI | 1942653316 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | H CHARLES L BEHRENDT President 847-350-8446 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Additional Taxonomies | 335E00000X Prosthetic/Orthotic Supplier |
| Enumeration Date | 2016-07-20 |
| Last Update Date | 2016-09-18 |