Action Mobility Inc
Organization Active NPI Durable Medical Equipment & Medical Supplies · Peoria, IL
NPI 1922097096 · NPPES record last updated Apr 16, 2012
Key facts
- NPI
- 1922097096
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Durable Medical Equipment & Medical Supplies 332B00000X
- License
- 203000438 (IL)
- Legal business name
- ACTION MOBILITY INC
- Practice address
- 2104 W Townline Rd
Peoria, IL 61615-1547 - Phone
- (309) 674-8550
- Fax
- (309) 674-8505
- NPI assigned
- Oct 20, 2005
- Organization subpart
- No
Authorized official
- Name
- Mr. John Lewis Viviani
- Title
- President
- Phone
- (309) 674-8550
National Provider Directory
Locations
3330 W Farmington Rd
Ste 2
Peoria, IL 61604
Phone (309) 674-8550
2104 W Townline Rd
Peoria, IL 61615
Phone (309) 674-8550
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Durable Medical Equipment & Medical Supplies | 332B00000X | 203000438 | IL | Yes |
Addresses
Primary practice location
2104 W Townline Rd
Peoria, IL 61615-1547
Mailing address
PO Box 115
Peoria, IL 61650-0115
Phone (309) 674-8550
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Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 16, 2012. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.