| NPI | 1962735373 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | HEMAL H RAO Director 847-483-4236 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332BC3200X Durable Medical Equipment & Medical Supplies Customized Equipment (Licence: IL 3969-3201) |
| Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: IL 3969-3201) |
| 332BN1400X Durable Medical Equipment & Medical Supplies Nursing Facility Supplies (Licence: IL 3969-3201) | |
| 332BX2000X Durable Medical Equipment & Medical Supplies Oxygen Equipment & Supplies (Licence: IL 3969-3201) | |
| Enumeration Date | 2009-09-16 |
| Last Update Date | 2009-09-30 |