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 |