| NPI | 1972673234 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHAEL LERNER President 773-381-2222 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332BP3500X Durable Medical Equipment & Medical Supplies, Parenteral & Enteral Nutrition (Licence: IL 203.000521) |
| Enumeration Date | 2006-11-08 |
| Last Update Date | 2016-03-29 |