| NPI | 1730354531 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ERIC ROHDE Owner 309-664-7930 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: IL 203.001082) |
| Enumeration Date | 2008-04-23 |
| Last Update Date | 2024-04-16 |