Organization
PEORIA SPECIALTY, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. SCOTT M WOOD (VICE PRESIDENT)
(309) 693-4459
Entity
Organization
Contact information
Practice address
610 ABINGTON ST STE I, PEORIA, IL 61603-3577
(309) 693-4459
(309) 693-5801
Mailing address
610 ABINGTON ST STE I, PEORIA, IL 61603-3577
(309) 693-4459
(309) 693-5801
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
203.000663
IL
Other
Enumeration date
09/20/2006
Last updated
04/21/2021
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