Organization
CPO SERVICES, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
AMIT BHANTI CPO (CEO)
(309) 676-2276
Entity
Organization
Contact information
Practice address
205 LANDMARK DR, NORMAL, IL 61761-2376
(309) 664-6930
(309) 664-6932
Mailing address
741 W MAIN ST, PEORIA, IL 61606-2017
(309) 676-2276
(309) 676-2279
Taxonomy
Speciality
Code
Description
License number
State
222Z00000X
Orthotist
211000032
IL
224P00000X
Prosthetist
213000024
IL
335E00000X
Prosthetic/Orthotic Supplier
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0570000027
MEDICARE RAILROAD
IL
01
—
371343982
FEDERAL ID #
IL
05
—
371343982002
—
IL
Enumeration date
10/14/2005
Last updated
09/24/2024
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