| NPI | 1457655698 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LAWRENCE JOSEPH LEHANE Owner/President 309-663-2727 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QS1200X Clinic/Center, Sleep Disorder Diagnostic |
| Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2011-01-03 |
| Last Update Date | 2014-04-30 |