| NPI | 1083647671 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CRAIG A PLATTNER President/CEO 309-682-1382 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332BC3200X Durable Medical Equipment & Medical Supplies, Customized Equipment |
| Additional Taxonomies | 335E00000X Prosthetic/Orthotic Supplier |
| Enumeration Date | 2006-07-08 |
| Last Update Date | 2020-08-22 |