1. Home
  2. Directory
  3. Illinois
  4. Peoria
  5. Non Emergency Medical Transport Van
  6. NPI Profile

CORY EDWARD WALLACE
NPI 1871483420
Non-emergency Medical Transport (VAN) in Peoria, IL

Active since July 07, 2025
3624 W CASSADAGA CT, PEORIA, IL 61615(309) 922-9339 Get Directions Write a Review

NPPES record last updated: July 7, 2025. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Cory Edward Wallace NPPES

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

CORY EDWARD WALLACE (NPI 1871483420) is an individual non-emergency medical transport (van) provider in Peoria, Illinois and active in the NPI registry since July 2025.

NPPES Registry Identity

NPI1871483420
Entity TypeIndividualMale
Primary Taxonomy343900000X
Provider Legal NameCORY EDWARD WALLACE
Location Address3624 W CASSADAGA CTPeoria, IL 61615-3952
Mailing Address3624 W Cassadaga CtPeoria, IL 61615-3952 · (309) 922-9339
Phone(309) 922-9339
Sole ProprietorYes
Enumeration DateJuly 7, 2025
NPPES CertifiedJuly 7, 2025
✔ NPI 1871483420 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNon-emergency Medical Transport (VAN)Transportation Services
Taxonomy Code343900000X
Definition
A land vehicle with a capacity to meet special height, clearance, access, and seating, for the conveyance of persons in non-emergency situations. The vehicle may or may not be required to meet local county or state regulations.
3624 W CASSADAGA CT, Peoria, IL 61615
Open in Google Maps ↗

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

PEORIA NON- EMERGENCY MEDICAL TRANSPORT
Non-emergency Medical Transport (VAN)
3624 W CASSADAGA CT
PEORIA, IL 61615
Peoria County (309) 857-1165

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 Cory Wallace's NPI number?

The NPI number for Cory Wallace is 1871483420. It was assigned to this individual provider in the NPPES registry on July 7, 2025.

Where is Cory Wallace located?

Cory Wallace practices at 3624 W Cassadaga Ct, Peoria, IL 61615. The listed phone number is (309) 922-9339.

What is Cory Wallace's specialty?

The primary specialty registered for this NPI is Non-emergency Medical Transport (VAN) with taxonomy code 343900000X.

When was this NPI record last updated?

The NPPES record for Cory Wallace was last updated on July 7, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.