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Contact Information

DENNIS W DILLARD, C.PED., CTO
741 W MAIN ST
PEORIA, IL61606-2017
 Phone: 309-676-2276
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Orthotics/Prosthetics Fitter

225000000X
Indicates primary specialty

NPI Profile & details for DENNIS W DILLARD · (Male)

NPI # 1275667115
Status Active
Credentials C.PED., CTO
Entity Individual
Enumeration date 03/15/2007
Last updated 11/09/2012 - About 14 years ago
Sole proprietor 1 No
Identifiers
  • IL License # 212-000127
  • IL Other CPED1563 AMERICAN BOARD FOR CERTIFICATION IN ORTHOTICS, PROSTHETICS, AND PEDORTHICS, INC.
  • IL Other 212-000127 STATE LICENSED PEDORTHIST
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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