Individual provider · Type 1 NPI
Jorell Glass
Prosthetics Case Management · Peoria, IL
NPI number
1508421579
Active
Practice location
456 Fulton St Ste 180
Peoria, IL 61602-1292
Mailing address
1321 W Maywood Ave
Peoria, IL 61604-2548
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Prosthetics Case Management Primary | 1744P3200X | None listed |
Prosthetics Case Management: A case manager who provides services for patients with prosthetics.
About NPI 1508421579
Jorell Glass's National Provider Identifier is 1508421579, issued on May 6, 2019. The primary taxonomy on file is Prosthetics Case Management (1744P3200X), and the practice location is in Peoria, IL. The record was last updated on May 6, 2019.