| NPI | 1962680215 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRENDA C HORSLEY Office Manager 773-651-2311 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: IL 016003755) |
| Enumeration Date | 2008-02-07 |
| Last Update Date | 2008-02-07 |