| NPI | 1255473930 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WILLIAM MARTENS Owner 217-367-2880 |
| Organization Subpart ? | No |
| Primary Taxonomy | 335E00000X Prosthetic/Orthotic Supplier (Licence: IL 0332-6012) |
| Enumeration Date | 2007-02-12 |
| Last Update Date | 2010-09-08 |