| NPI | 1144372798 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TIMOTHY A VANFLEET Board President 217-547-9100 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: IL 042007969) |
| Enumeration Date | 2007-01-16 |
| Last Update Date | 2023-06-05 |