| NPI | 1942752548 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NATHANIEL WILKES President 773-966-5971 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2016-10-29 |
| Last Update Date | 2023-05-19 |