| NPI | 1508854191 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CYNTHIA L WEBB President 309-685-7511 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2005-10-09 |
| Last Update Date | 2020-08-22 |