| NPI | 1952789398 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHAEL B YOUNAN Administrator 773-279-5350 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Additional Taxonomies | 3336S0011X Pharmacy, Specialty Pharmacy |
| Enumeration Date | 2015-05-18 |
| Last Update Date | 2015-05-18 |