| NPI | 1073721684 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JUDY KEIM Vice President 309-797-4647 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2007-05-18 |
| Last Update Date | 2008-06-23 |