NPI 1104923499

Peoria Specialty, INC.

Organisation Durable Medical Equipment & Medical Supplies Peoria, IL

Practice location

Address: 610 Abington St STE I, Peoria, IL 61603-3577
Phone: (309) 693-4459
Fax: (309) 693-5801

Authorised official

Name: Scott M Wood
Title: Vice President
Phone: (309) 693-4459

Registered specialties

Durable Medical Equipment & Medical Supplies Primary

Suppliers Taxonomy 332B00000X Licence 203.000663 (IL)

Other Durable Medical Equipment & Medical Supplies providers in Illinois →

Registry record

NPI: 1104923499
Entity type: Organization
NPI issued: 20 Sep 2006
Record last updated: 21 Apr 2021

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.