DENNIS WAYNE DILLARD

PEORIA, IL
NPI1275667115
Entity TypeIndividual
GenderMale
Sole Proprietor ?
Primary Taxonomy225000000X Orthotic Fitter
(Licence: IL  212-000127)
Enumeration Date2007-03-15
Last Update Date2012-11-09
Business Address
MR. DENNIS WAYNE DILLARD C.PED., CTO
741 W MAIN ST
PEORIA, IL 61606-2017
Phone number: 309-676-2276
Mailing Address
MR. DENNIS WAYNE DILLARD C.PED., CTO
10823 W SMITHVILLE RD
HANNA CITY, IL 61536-9711
Phone number: 309-565-7133