| NPI | 1275716029 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KATHLEEN L REINGOLD Claims Administrator 815-399-0599 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332BC3200X Durable Medical Equipment & Medical Supplies, Customized Equipment |
| Enumeration Date | 2007-12-14 |
| Last Update Date | 2007-12-14 |