Cpo Services, Inc

Organization Active NPI Orthotist · Peru, IL

NPI 1578890976 · NPPES record last updated Jul 30, 2018

Key facts

NPI
1578890976
Entity type
Organization (NPI type 2)
Primary specialty
Orthotist 222Z00000X
License
213-000118 (IL)
Legal business name
CPO SERVICES, INC
Practice address
2011 Rock St
Suite D2
Peru, IL 61354
Phone
(888) 676-2276
NPI assigned
Nov 6, 2009
Organization subpart
Yes
Parent organization (as reported)
CPO SERVICES, INC

Authorized official

Name
Mr. Donald Goertzen, CPO
Title
President
Phone
(309) 676-2276

Corporate family (same tax ID) 14

Organizations that report the same tax identification number in the National Provider Directory.

National Provider Directory

Tax ID family
Cpo Services Inc (15 organizations share this tax ID)
Part of
Cpo Services Inc

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Orthotist
Group: 193200000X MULTI-SPECIALTY GROUP
222Z00000X 213-000118 IL Yes
Prosthetist
Group: 193200000X MULTI-SPECIALTY GROUP
224P00000X 213-000118 IL
Prosthetic/Orthotic Supplier 335E00000X

Addresses

Primary practice location

2011 Rock St
Suite D2
Peru, IL 61354

Mailing address

416 NE Saint Mark CT
Suite 310
Peoria, IL 61603-3742
Phone (309) 676-2276

Other names

  • COMPREHENSIVE PROSTHETICS AND ORTHOTICS Doing business as

Other providers in Peru, IL

All providers in Peru, IL · Orthotist in Illinois

Sources for this page

Verify at the official NPI Registry.