| NPI | 1992558704 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RICHARD GERALD HARRIS AO 708-450-5055 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2024-04-10 |
| Last Update Date | 2024-04-10 |