| NPI | 1790438976 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DEBORAH ANN HOUTZ Managing Partner 815-782-6484 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2022-01-28 |
| Last Update Date | 2022-01-28 |