| NPI | 1164552113 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KIRK MOBERG Senior Vice President 217-383-3311 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: IL 060009054) |
| Enumeration Date | 2007-03-07 |
| Last Update Date | 2010-12-30 |