| NPI | 1417150947 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRIAN A LESZKIEWICZ President Owner 815-341-0182 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332BC3200X Durable Medical Equipment & Medical Supplies Customized Equipment |
| Enumeration Date | 2007-06-11 |
| Last Update Date | 2022-07-21 |