| NPI | 1962485151 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LEE P PORTOKALIS CEO 773-267-5123 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: IL 203-00692) |
| Enumeration Date | 2005-11-22 |
| Last Update Date | 2018-11-19 |