Cardiosom, LLC

NPI #1407073182 in Peoria, Illinois

Provider Information

NPI Number: 1407073182
Entity Type: Organization
Organization Name: Cardiosom, LLC
Primary Specialty: Durable Medical Equipment & Medical Supplies - Oxygen Equipment & Supplies
Enumeration Date: Apr 20, 2007
Last Updated: Oct 25, 2007

Practice Location

Address: 5405 N KNOXVILLE AVE
Address 2: SUITE 3
City: Peoria
State: Illinois
ZIP Code: 61614-5016
Phone: (309) 589-1180

Authorized Official

Name: MR. KEVIN GREISL
Title: COOPRESIDENT
Phone: (317) 706-1080

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Durable Medical Equipment & Medical Supplies - Oxygen Equipment & Supplies — Oxygen Equipment & Supplies	332BX2000X	Primary

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