CORY WALLACE
Non-emergency Medical Transport (VAN)
Active
Individual
NPI: 1871483420
Specialties
| Specialty | Code | Primary | License |
|---|---|---|---|
| Non-emergency Medical Transport (VAN) | 343900000X | Yes | - |
Frequently Asked Questions
NPI 1871483420 is the National Provider Identifier for CORY WALLACE, a Non-emergency Medical Transport (VAN) provider located in Peoria, IL. This NPI was enumerated on July 7, 2025.
CORY WALLACE practices at 3624 W CASSADAGA CT, Peoria, IL 61615.
Quick Facts
- NPI
- 1871483420
- Type
- Individual
- Enumerated
- Jul 7, 2025
- Last Updated
- Jul 7, 2025
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