Cory Edward Wallace
NPI #1871483420 in Peoria, Illinois
Provider Information
- NPI Number
- 1871483420
- Entity Type
- Individual
- Name
- Cory Edward Wallace
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Non-emergency Medical Transport (VAN)
- Enumeration Date
- Jul 7, 2025
- Last Updated
- Jul 7, 2025
Practice Location
Specialties & Taxonomy Codes
| Specialty |
|---|
| Non-emergency Medical Transport (VAN) |
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