| NPI | 1902231160 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DONALD M. MEYER President 217-221-8550 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332BC3200X Durable Medical Equipment & Medical Supplies, Customized Equipment (Licence: IL 2018) |
| Enumeration Date | 2013-09-06 |
| Last Update Date | 2013-09-06 |