| NPI | 1093766081 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ALLAN DAVID SCHULZE Certified Prosthetist/Owner 217-221-8991 |
| Organization Subpart ? | No |
| Primary Taxonomy | 335E00000X Prosthetic/Orthotic Supplier (Licence: IL 211-000154) |
| Enumeration Date | 2006-05-13 |
| Last Update Date | 2008-04-20 |