NPI: 1437183688 · STREATOR, IL 61364 · Community/Retail Pharmacy · NPI assigned 07/11/2006
| Authorized Official | RAMZA, JULIE (PRESIDENT) |
| NPI Enumeration Date | 07/11/2006 |
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 29 | $767.92 |
| 2019 | 49 | $2K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| E0114 | Crutches underarm, other than wood, adjustable or fixed, pair, with pads, tips and handgrips | 78 | 73 | $2K |