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

Peoria Non- Emergency Medical Transport

Organization Non-emergency Medical Transport (VAN) · NPI 1376208983

Peoria Non- Emergency Medical Transport is a Non-emergency Medical Transport (VAN) in Peoria, Illinois. Registered with an NPI since 2021.

In the registry since
2021
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Practice location Address checks out

3624 W Cassadaga Ct
Peoria, IL 61615-3952
Phone: (309) 857-1165
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Non-emergency Medical Transport (VAN) (primary) Taxonomy 343900000X

Record details

NPI number1376208983
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Cory Wallace — Owner/Operator · (309) 857-1165
NPI enumeratedNovember 8, 2021
Last updated in NPPESNovember 8, 2021
Certification dateNovember 8, 2021
Mailing address3624 W Cassadaga Ct, Peoria, IL 61615-3952

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