| NPI | 1992957633 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KIRK MOBERG Senior Vice President 217-337-4105 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: IL 060004307) |
| Enumeration Date | 2008-10-14 |
| Last Update Date | 2008-10-14 |