| NPI | 1871601997 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | HELENE WHITAKER Office Manager 309-685-2424 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: IL 036078398) |
| Enumeration Date | 2006-08-28 |
| Last Update Date | 2020-08-22 |