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CENTERCORE MEDICAL LLC
NPI 1306161427
Prosthetic/Orthotic Supplier in Herrin, IL

Active since March 31, 2010
720 S PARK AVE, HERRIN, IL 62948(618) 713-6286(618) 985-4636 Get Directions Write a Review

NPPES record last updated: March 31, 2010. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Centercore Medical Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

CENTERCORE MEDICAL LLC (NPI 1306161427) is a healthcare organization registered as a prosthetic/orthotic supplier in Herrin, Illinois and active in the NPI registry since March 2010. The organization lists Corene Mavigliano, Owner, as its authorized official.

NPPES Registry Identity

NPI1306161427
Entity TypeOrganization
Primary Taxonomy335E00000X
Legal Business NameCENTERCORE MEDICAL LLC
Location Address720 S PARK AVEHerrin, IL 62948-3816
Mailing Address704 Grace LnCarterville, IL 62918-1058 · (618) 713-6286 · Fax (618) 985-4636
Phone(618) 713-6286
Fax(618) 985-4636
Organization SubpartNo
Authorized OfficialCorene MaviglianoOwner · (618) 713-6286
Enumeration DateMarch 31, 2010
✔ NPI 1306161427 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyProsthetic/Orthotic SupplierSuppliers
Taxonomy Code335E00000X
Definition
An organization that provides prosthetic and orthotic care which may include, but is not limited to, patient evaluation, prosthesis or orthosis design, fabrication, fitting and modification to treat limb loss for purposes of restoring physiological function and/or cosmesis or to treat a neuromusculoskeletal disorder or acquired condition.
720 S PARK AVE, Herrin, IL 62948
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Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Centercore Medical LLC's NPI number?

The NPI number for Centercore Medical LLC is 1306161427. It was assigned to this organization in the NPPES registry on March 31, 2010.

Where is Centercore Medical LLC located?

Centercore Medical LLC is located at 720 S Park Ave, Herrin, IL 62948. The listed phone number is (618) 713-6286.

What is Centercore Medical LLC's specialty?

The primary specialty registered for this NPI is Prosthetic/Orthotic Supplier with taxonomy code 335E00000X.

When was this NPI record last updated?

The NPPES record for Centercore Medical LLC was last updated on March 31, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.