| NPI | 1992836639 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KIRK MOBERG Senior Vice President 217-383-3311 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: IL 06004307) |
| Enumeration Date | 2007-03-07 |
| Last Update Date | 2020-08-22 |