CARDIOSOM LLC NPI 1407073182

NPI Information

CARDIOSOM, LLC is an oxygen equipment and supplies durable medical equipment medical supplies in Peoria, IL. CARDIOSOM, LLC NPI is 1407073182. The provider is registered as an organization entity type.
The provider Is Doing Business As Cardiosom Of Peoria.

The provider's business location address is:

5405 N KNOXVILLE AVE
SUITE 3
PEORIA, IL
ZIP 61614-016
Phone: (309) 589-1180
Fax: (309) 589-1189

The provider's authorized official is Kevin Greisl .
The authorized official title is Coopresident and has the following contact phone number (317) 706-1080.

The enumeration date for this NPI number is 4/20/2007 and was last updated on 10/25/2007.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.