| NPI | 1043362932 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AMIT V BHANTI CEO 309-676-2276 |
| Organization Subpart ? | No |
| Primary Taxonomy | 335E00000X Prosthetic/Orthotic Supplier (Licence: IL 060008643213000063) |
| Enumeration Date | 2007-01-18 |
| Last Update Date | 2025-11-26 |