| NPI | 1922097096 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOHN LEWIS VIVIANI President 309-674-8550 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: IL 203000438) |
| Enumeration Date | 2005-10-20 |
| Last Update Date | 2012-04-16 |