Organization
CPO SERVICES, INC
Active
Parent organization
CPO SERVICES, INC
Other names
COMPREHENSIVE PROSTHETICS AND ORTHOTICS
Organization subpart
Yes
Provider details
NPI number
Legal business name
CPO SERVICES, INC
Authorized official
MR. DONALD GOERTZEN CPO (PRESIDENT)
(309) 676-2276
Entity
Organization
Contact information
Practice address
2011 ROCK ST, SUITE D2, PERU, IL 61354
(888) 676-2276
Mailing address
416 NE SAINT MARK CT, SUITE 310, PEORIA, IL 61603-3742
(309) 676-2276
Taxonomy
Speciality
Code
Description
License number
State
222Z00000X
Orthotist
Primary
213-000118
IL
224P00000X
Prosthetist
213-000118
IL
335E00000X
Prosthetic/Orthotic Supplier
—
—
Other
Enumeration date
11/06/2009
Last updated
07/30/2018
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