Individual provider · Type 1 NPI
Cory Edward Wallace
Non-emergency Medical Transport (VAN) · Peoria, IL
NPI number
1871483420
Active
Practice location
3624 W Cassadaga Ct
Peoria, IL 61615-3952
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Non-emergency Medical Transport (VAN) Primary | 343900000X | None listed |
Non-emergency Medical Transport (VAN): A land vehicle with a capacity to meet special height, clearance, access, and seating, for the conveyance of persons in non-emergency situations. The vehicle may or may not be required to meet local county or state regulations.
Another provider at this address
About NPI 1871483420
Cory Edward Wallace's National Provider Identifier is 1871483420, issued on Jul 7, 2025. The primary taxonomy on file is Non-emergency Medical Transport (VAN) (343900000X), and the practice location is in Peoria, IL. The record was last updated on Jul 7, 2025.