| NPI | 1891762324 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KATHY ANNE PHILLIPS President 815-729-2700 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332BX2000X Durable Medical Equipment & Medical Supplies, Oxygen Equipment & Supplies (Licence: IL 203000433) |
| Enumeration Date | 2006-03-03 |
| Last Update Date | 2020-08-22 |