| NPI | 1104864115 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RAYMOND JOHN GIANFRIDDO Vice President 217-228-2060 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: IL 0326000001) |
| Enumeration Date | 2006-06-02 |
| Last Update Date | 2013-07-10 |