| NPI | 1790782480 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DENISE EDMAN President/Owner 815-741-0712 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: IL 203000549) |
| Enumeration Date | 2005-07-07 |
| Last Update Date | 2017-09-06 |