Organization
CPO SERVICES, INC
Active
Other names
Comprehensive Prosthetics & Orthotics
Organization subpart
No
Provider details
NPI number
Authorized official
DONALD GOERTZEN CPO (PRESIDENT)
(309) 676-2276
Entity
Organization
Contact information
Practice address
1521 W WALNUT ST, JACKSONVILLE, IL 62650
(217) 883-4960
Mailing address
741 W MAIN ST, PEORIA, IL 61606-2017
(309) 676-2276
(309) 676-2279
Taxonomy
Speciality
Code
Description
License number
State
335E00000X
Prosthetic/Orthotic Supplier
Primary
211-000147
IL
Other
Enumeration date
06/20/2012
Last updated
07/30/2018
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