Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Centercore Medical LLC

Organization Prosthetic/Orthotic Supplier · NPI 1306161427

Centercore Medical LLC is a Prosthetic/Orthotic Supplier in Herrin, Illinois. Registered with an NPI since 2010.

In the registry since
2010
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

See every abbreviation used in this directory →

Practice location Address checks out

720 S Park Ave
Herrin, IL 62948-3816
Phone: (618) 713-6286
Fax: (618) 985-4636
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Prosthetic/Orthotic Supplier (primary) Taxonomy 335E00000X

Record details

NPI number1306161427
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Corene Mavigliano — Owner · (618) 713-6286
NPI enumeratedMarch 31, 2010
Last updated in NPPESMarch 31, 2010
Mailing address704 Grace Ln, Carterville, IL 62918-1058