Provider Demographics
NPI:1215612866
Name:CPO SERVICES, INC.
Entity type:Organization
Organization Name:CPO SERVICES, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:AMIT
Authorized Official - Middle Name:V
Authorized Official - Last Name:BHANTI
Authorized Official - Suffix:
Authorized Official - Credentials:LO
Authorized Official - Phone:309-676-2276
Mailing Address - Street 1:741 W MAIN ST
Mailing Address - Street 2:
Mailing Address - City:PEORIA
Mailing Address - State:IL
Mailing Address - Zip Code:61606-1953
Mailing Address - Country:US
Mailing Address - Phone:309-285-7752
Mailing Address - Fax:309-285-7752
Practice Address - Street 1:1710 N RANDALL RD STE 170
Practice Address - Street 2:
Practice Address - City:ELGIN
Practice Address - State:IL
Practice Address - Zip Code:60123-9403
Practice Address - Country:US
Practice Address - Phone:847-201-2159
Practice Address - Fax:847-213-9394
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-06-21
Last Update Date:2023-06-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes335E00000XSuppliersProsthetic/Orthotic Supplier