| NPI | 1174620082 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KATHY E. THOMAS Owner/Fitter 217-342-2733 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: IL 0229690001) |
| Enumeration Date | 2006-09-20 |
| Last Update Date | 2020-08-22 |