| NPI | 1922264159 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ERIC ROHDE Owner 309-664-7930 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: IL 203.000461) |
| Enumeration Date | 2008-08-07 |
| Last Update Date | 2012-06-20 |