| NPI | 1043399850 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | THOMAS ERROL KRAEMER President 618-235-4433 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: IL 466468) |
| Enumeration Date | 2006-11-03 |
| Last Update Date | 2010-05-19 |