| NPI | 1326089731 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JUDE EZEANI NWOKENKWO President 815-588-5506 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332BX2000X Durable Medical Equipment & Medical Supplies, Oxygen Equipment & Supplies (Licence: IL 203-000522) |
| Enumeration Date | 2006-06-09 |
| Last Update Date | 2009-09-03 |