| NPI | 1770733271 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MANNY ABALOS Business Manager 815-397-4600 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2008-09-22 |
| Last Update Date | 2008-09-22 |