| NPI | 1669206157 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RAHUL NANDRU Owner/Manager 217-953-5594 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2024-08-28 |
| Last Update Date | 2024-09-28 |