| NPI | 1053563791 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARY E STROISCH Dir Of Fin Serv 217-528-2244 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332BX2000X Durable Medical Equipment & Medical Supplies, Oxygen Equipment & Supplies |
| Enumeration Date | 2008-10-14 |
| Last Update Date | 2008-10-14 |