| Organization Name: | COUNTY OF PEORIA |
| NPI Number: | 1053577429 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | LORI CURTIS LUTHER (COUNTY ADMINISTRATOR) |
| Mailing Address: | 2223 W Heading Ave West Peoria |
| State: | IL US |
| Postal Code: | 616045139 |
| Phone Number: | 3096363600 |
| Fax Number: | 3096363610 |
| NPI Enumeration Date: | 08/05/2008 |
| NPI Last Update Date: | 10/16/2013 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 332BX2000X |
| License Number: | 1737473 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | IL |
| Taxonomy Type: | Suppliers |
| Taxonomy Classification: | Durable Medical Equipment & Medical Supplies |
| Taxonomy Specialization: | Oxygen Equipment & Supplies |
| Taxonomy Definition: | |