| NPI | 1295725059 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ELISE RUSK Chief Operating Officer 309-797-9099 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2005-10-24 |
| Last Update Date | 2020-08-22 |