| NPI | 1033161005 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ELLEN MARIE MEYERS President 618-524-3678 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: IL 203.000558) |
| Enumeration Date | 2006-05-17 |
| Last Update Date | 2008-04-20 |