| NPI | 1225023898 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHARON A MC CHANCY Owner 217-422-1271 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: IL 203-000093) |
| Enumeration Date | 2005-09-20 |
| Last Update Date | 2014-10-17 |