| NPI | 1578794624 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AMIT BHANTI CEO 309-676-2276 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 335E00000X Prosthetic/Orthotic Supplier |
| Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2009-08-06 |
| Last Update Date | 2024-09-24 |