| NPI | 1104923499 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SCOTT M WOOD Vice President 309-693-4459 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: IL 203.000663) |
| Enumeration Date | 2006-09-20 |
| Last Update Date | 2021-04-21 |