| NPI | 1639292824 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PAT DIGIOVANNI President 815-227-0202 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332BX2000X Durable Medical Equipment & Medical Supplies, Oxygen Equipment & Supplies (Licence: IL 203.000617) |
| Enumeration Date | 2007-04-10 |
| Last Update Date | 2020-08-22 |