| NPI | 1972383388 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SYED H KIDWAI Authorized Official 224-409-7428 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2023-10-03 |
| Last Update Date | 2024-03-07 |