| NPI | 1740289339 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KIMBERLY ROBISON Co Owner 815-578-0304 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332BC3200X Durable Medical Equipment & Medical Supplies, Customized Equipment (Licence: IL 203-000551) |
| Enumeration Date | 2005-07-18 |
| Last Update Date | 2024-05-24 |