| NPI | 1962947713 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DELBERT RINQUEST Owner 847-380-5635 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 332BC3200X Durable Medical Equipment & Medical Supplies, Customized Equipment |
| Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2017-01-04 |
| Last Update Date | 2022-04-27 |