NPI | 1447200027 |
---|---|
Entity Type | Organization |
Authorized Contact | UCHE MBAKWE Vice President 309-786-3541 |
Organization Subpart ? | No |
Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: IL 203000483) |
Enumeration Date | 2006-05-12 |
Last Update Date | 2008-04-20 |