| NPI | 1114510625 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JEFFRY G LAPSKER Owner 815-744-1774 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332BC3200X Durable Medical Equipment & Medical Supplies, Customized Equipment |
| Enumeration Date | 2021-02-16 |
| Last Update Date | 2021-02-16 |