| NPI | 1396855821 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARK T HATCH President 815-227-0202 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332BX2000X Durable Medical Equipment & Medical Supplies, Oxygen Equipment & Supplies (Licence: IL 203.000617) |
| Additional Taxonomies | 171WH0202X Contractor, Home Modifications |
| 332B00000X Durable Medical Equipment & Medical Supplies | |
| Enumeration Date | 2006-08-30 |
| Last Update Date | 2023-04-24 |