What is Cory Wallace's NPI number?

Cory Wallace's National Provider Identifier (NPI) is 1871483420, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.

What is Cory Wallace's specialty?

Cory Wallace is listed in the NPPES registry with a primary specialty of Non-emergency Medical Transport (VAN) (Transportation Services).

Where is Cory Wallace located?

Cory Wallace's practice location on file with NPPES is 3624 W Cassadaga Ct, Peoria, IL 61615-3952.

What is Cory Wallace's phone number?

The practice phone number listed in the NPPES registry for Cory Wallace is (309) 922-9339.

Is Cory Wallace's NPI active?

Yes — Cory Wallace's NPI (1871483420) is active in the NPPES registry as of the last update on 2025-07-07.

IndividualActive

Cory Wallace

NPI 1871483420 · Non-emergency Medical Transport (VAN) · Peoria, IL

Cory Wallace is a Non-emergency Medical Transport (VAN) provider in Peoria, IL (NPI 1871483420).

Provider details

NPI number: 1871483420
Entity type: Individual
Primary specialty: Non-emergency Medical Transport (VAN)Transportation Services
Sex: Male
Sole proprietor: Yes

Specialties & taxonomies

Non-emergency Medical Transport (VAN)Primary343900000X
Transportation Services

Profile Score

Basic profile(48/100 index)

A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.

Registry tenure38% of score
Under 1 yr in registry
Profile completeness38% of score
83% of core fields populated
Practice footprint23% of score
1 documented practice location

Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.

Practice location

3624 W Cassadaga Ct

Peoria, IL 61615-3952

Phone: (309) 922-9339

Street-level locationGet directions

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Mailing address