| NPI | 1023167624 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ALEXANDRIA R STEWART President 217-366-0244 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2007-01-10 |
| Last Update Date | 2024-02-08 |