| NPI | 1174526776 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SUZANNE JOHN Operations Manager 309-682-1900 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: IL 203-000372) |
| Enumeration Date | 2005-05-27 |
| Last Update Date | 2013-11-13 |