| NPI | 1104943786 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | HOWARD C FOX President 815-634-2324 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: IL 016004700) |
| Additional Taxonomies | 213ES0131X |
| Enumeration Date | 2007-03-26 |
| Last Update Date | 2025-07-17 |