| NPI | 1477867778 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KELLY DAEHLER President 815-788-3272 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332BX2000X Durable Medical Equipment & Medical Supplies, Oxygen Equipment & Supplies |
| Enumeration Date | 2010-07-29 |
| Last Update Date | 2011-04-21 |