NPI | 1710027255 |
---|---|
Entity Type | Organization |
Authorized Contact | MICHAEL TOPIELEC Administrator 815-942-4875 |
Organization Subpart ? | No |
Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: IL 042007183) |
Enumeration Date | 2007-02-07 |
Last Update Date | 2012-09-10 |