| NPI | 1154656916 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PATRICK J FLYNN Vice President 815-791-6644 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2009-10-13 |
| Last Update Date | 2009-10-13 |