| NPI | 1992290647 |
|---|---|
| Other Name | N/A |
| Entity Type | Organization |
| Authorized Contact | EDGAR ALEXANDER BARRIOS President 312-315-6584 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332BC3200X Durable Medical Equipment & Medical Supplies, Customized Equipment (Licence: IL 212000132) |
| Enumeration Date | 2018-06-26 |
| Last Update Date | 2018-06-26 |