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

Jorell Glass

Individual provider Prosthetics Case Management · NPI 1508421579

Jorell Glass is a Prosthetics Case Management in Peoria, Illinois. Practices as a sole proprietor. Registered with an NPI since 2019.

In the registry since
2019
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Practice location Address checks out

456 Fulton St Ste 180
Peoria, IL 61602-1292
Phone: (309) 408-9399
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Specialties & licences

Prosthetics Case Management (primary) Taxonomy 1744P3200X

Record details

NPI number1508421579
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedMay 6, 2019
Last updated in NPPESMay 6, 2019
Mailing address1321 W Maywood Ave, Peoria, IL 61604-2548