| NPI | 1962295360 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JIGNESH PATEL Authorize Official 815-729-0700 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2025-05-28 |
| Last Update Date | 2025-05-28 |