| NPI | 1992164883 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JAMES LEHAN Business Director 815-758-0911 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: IL 203001824) |
| Enumeration Date | 2016-02-19 |
| Last Update Date | 2016-02-19 |