| NPI | 1912545310 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOHN MICHAEL BECKWITH Owner 217-359-5800 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2019-12-16 |
| Last Update Date | 2019-12-16 |