| NPI | 1770589269 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LEO H COLLISON President 630-257-2266 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332BX2000X Durable Medical Equipment & Medical Supplies, Oxygen Equipment & Supplies (Licence: IL 203000244) |
| Enumeration Date | 2005-06-21 |
| Last Update Date | 2020-08-22 |