| NPI | 1750485355 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRIAN S ROSBOROUGH President 815-433-1010 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: IL 042000502) |
| Enumeration Date | 2006-09-12 |
| Last Update Date | 2020-08-22 |