| NPI | 1467712513 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOHN KREPPS Vice President Finance 815-300-1100 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 332BX2000X Durable Medical Equipment & Medical Supplies, Oxygen Equipment & Supplies (Licence: IL 0005827) |
| Enumeration Date | 2012-05-23 |
| Last Update Date | 2012-05-23 |