| NPI | 1174852271 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SETH MYERS Senior Vice President 815-276-7811 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: IL 67366824) |
| Enumeration Date | 2009-12-18 |
| Last Update Date | 2009-12-18 |