Organization
CARDIOSOM, LLC
Active
Other names
CardioSom of Peoria
Organization subpart
No
Provider details
NPI number
Authorized official
MR. KEVIN GREISL (COOPRESIDENT)
(317) 706-1080
Entity
Organization
Contact information
Practice address
5405 N KNOXVILLE AVE, SUITE 3, PEORIA, IL 61614-5016
(309) 589-1180
(309) 589-1189
Mailing address
615 W CARMEL DR, SUITE 100, CARMEL, IN 46032-2996
(800) 868-1920
(800) 868-1908
Taxonomy
Speciality
Code
Description
License number
State
332BX2000X
Oxygen Equipment & Supplies (DME)
Primary
—
IL
Other
Enumeration date
04/20/2007
Last updated
10/25/2007
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