Organization
THE PLAID DAISY INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CHRIS MONROE (PRESIDENT)
(309) 686-0602
Entity
Organization
Contact information
Practice address
1835 N KNOXVILLE AVE, PEORIA, IL 61603-3027
(309) 686-0602
(309) 686-0858
Mailing address
1835 N KNOXVILLE AVE, PEORIA, IL 61603-3027
(309) 686-0602
(309) 686-0858
Taxonomy
Speciality
Code
Description
License number
State
335E00000X
Prosthetic/Orthotic Supplier
Primary
—
—
Other
Enumeration date
05/27/2005
Last updated
08/22/2020
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