| NPI | 1851630883 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KELLEY HATFIELD Accounting Director 217-223-2636 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332BX2000X Durable Medical Equipment & Medical Supplies, Oxygen Equipment & Supplies (Licence: IL 0011643) |
| Enumeration Date | 2013-02-12 |
| Last Update Date | 2013-02-12 |