IndividualActive
Dennis Dillard, C.PED., CTO
NPI 1275667115 · Orthotic Fitter · Peoria, IL
Provider details
- NPI number
- 1275667115
- Entity type
- Individual
- Primary specialty
- Orthotic FitterRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Credential
- C.PED., CTO
- Sex
- Male
- Sole proprietor
- No
- License
- 212-000127 (IL)
Specialties & taxonomies
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Practice location
741 W Main St
Peoria, IL 61606-2017
Phone: (309) 676-2276
Approximate (ZIP-level) locationGet directions
Mailing address
10823 W Smithville Rd
Hanna City, IL 61536-9711
Registry dates
- Enumerated
- 2007-03-15
- Last updated
- 2012-11-09
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.