Peoria Non- Emergency Medical Transport

NPI #1376208983 in Peoria, Illinois

Provider Information

NPI Number
1376208983
Entity Type
Organization
Organization Name
Peoria Non- Emergency Medical Transport
Primary Specialty
Non-emergency Medical Transport (VAN)
Enumeration Date
Nov 8, 2021
Last Updated
Nov 8, 2021

Practice Location

Address
3624 W CASSADAGA CT
City
Peoria
ZIP Code
61615-3952
Phone
(309) 857-1165

Authorized Official

Name
MR. CORY E. WALLACE
Title
OWNER/OPERATOR
Phone
(309) 857-1165

Specialties & Taxonomy Codes

Specialty
Non-emergency Medical Transport (VAN)

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