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JORELL GLASS
NPI 1508421579
Specialist - Prosthetics Case Management in Peoria, IL

Active since May 06, 2019
456 FULTON ST STE 180, PEORIA, IL 61602(309) 408-9399 Get Directions Write a Review

NPPES record last updated: May 6, 2019. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Jorell Glass NPPES

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

JORELL GLASS (NPI 1508421579) is an individual prosthetics case management provider in Peoria, Illinois and active in the NPI registry since May 2019.

NPPES Registry Identity

NPI1508421579
Entity TypeIndividualMale
Primary Taxonomy1744P3200X
Provider Legal NameJORELL GLASS
Location Address456 FULTON ST STE 180Peoria, IL 61602-1292
Mailing Address1321 W Maywood AvePeoria, IL 61604-2548
Phone(309) 408-9399
Sole ProprietorYes
Enumeration DateMay 6, 2019
✔ NPI 1508421579 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpecialist · Prosthetics Case ManagementOther Service Providers
Taxonomy Code1744P3200X
Definition
Under the Other Service Providers; Specialist the Prosthetics Case Management definition changed to: A case manager who provides services for patients with prosthetics.
456 FULTON ST STE 180, Peoria, IL 61602
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Other Identifiers 1

Other1744P3200XIL · Certified Hair Loss Specialist

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 Jorell Glass's NPI number?

The NPI number for Jorell Glass is 1508421579. It was assigned to this individual provider in the NPPES registry on May 6, 2019.

Where is Jorell Glass located?

Jorell Glass practices at 456 Fulton St Ste 180, Peoria, IL 61602. The listed phone number is (309) 408-9399.

What is Jorell Glass's specialty?

The primary specialty registered for this NPI is Specialist, specializing in Prosthetics Case Management, with taxonomy code 1744P3200X.

When was this NPI record last updated?

The NPPES record for Jorell Glass was last updated on May 6, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.