| NPI | 1235160326 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JONATHAN WARREN President 815-773-9090 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: IL 203000600) |
| Enumeration Date | 2006-07-06 |
| Last Update Date | 2022-12-26 |