| NPI | 1891835765 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHAEL TOPIELEC Administrator 815-942-4875 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: IL 042007183) |
| Enumeration Date | 2007-02-08 |
| Last Update Date | 2012-09-10 |