NPI | 1598934622 |
---|---|
Entity Type | Organization |
Authorized Contact | JEFFREY E KERR President 217-523-4645 |
Organization Subpart ? | No |
Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: IL 26314312) |
Enumeration Date | 2008-02-22 |
Last Update Date | 2015-11-18 |