| NPI | 1952466757 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | VASILI SHEGELSKY Owner 847-877-0565 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: IL 203.000458) |
| Enumeration Date | 2006-12-22 |
| Last Update Date | 2008-08-12 |