| NPI | 1295939981 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KENNETH L HUMPHREY President 309-691-3600 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: IL 2902-3841) |
| Enumeration Date | 2007-06-14 |
| Last Update Date | 2007-07-26 |