# BREATH OF LIFE LTD

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1982621694
- **Authorized official:** PIZZARRO JUAN PICKETT CRT,RCP (RESPIRATORY THERAPIST)
- **Authorized official phone:** (309) 645-7430

## Contact information

- **Practice address:** 2201 SW ADAMS ST, PEORIA, IL 61602-1803
- **Practice address phone:** (309) 676-5645
- **Mailing address:** 1418 W GIFT AVE, PEORIA, IL 61604-2559
- **Mailing address phone:** (309) 686-7135
- **Mailing address fax:** (309) 686-7133

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 227800000X | Certified Respiratory Therapist | — | IL | Yes |

## Other

- **Enumeration date:** 07/17/2006
- **Last updated:** 08/22/2020