MEDICARE: THE PLAID DAISY INC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	335E00000X	Prosthetic/Orthotic Supplier

General Provider Information

NPI Number	:	1346243946
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	THE PLAID DAISY INC

Provider Business Mailing Address
First Line	:	1835 N KNOXVILLE AVE
Second Line	:
City	:	PEORIA
State	:	IL
Zip	:	61603-3027
Country	:	US
Telephone Number	:	309-686-0602
Fax Number	:	309-686-0858

Provider Business Practice Location Address
First Line	:	1835 N KNOXVILLE AVE
Second Line	:
City	:	PEORIA
State	:	IL
Zip	:	61603-3027
Country	:	US
Telephone Number	:	309-686-0602
Fax Number	:	309-686-0858

Authorized Official
Title or Position	:	PRESIDENT
Name	:	CHRIS MONROE
Credential	:
Telephone Number	:	309-686-0602

Provider Enumeration Date	:	05/27/2005
Last Update Date	:	08/22/2020

Similar Medicare Providers

1639597172 — MRS. JAEL K. MAHASI NCC, LPC
Practice Location Address:

1831 N KNOXVILLE AVE
PEORIA, IL
61603-3027

Practice Phone: 309-688-9282
Practice Fax:

1336941533 — PATHWAY MINISTRIES
Practice Location Address:

1831 N KNOXVILLE AVE
PEORIA, IL
61603-3027

Practice Phone: 309-688-9282
Practice Fax:

1023996188 — JENNICE WOOLEVER LPC
Practice Location Address:

1831 N KNOXVILLE AVE
PEORIA, IL
61603-3027

Practice Phone: 309-688-9282
Practice Fax:

1942801071 — KATHRINE SUNSTEDT CPNP-AC
Practice Location Address:

1800 N KNOXVILLE AVE STE C
PEORIA, IL
61603-3005

Practice Phone: 309-624-9680
Practice Fax: 309-624-9524

1609704477 — MADISON LYNN EMBRY
Practice Location Address:

507 E ARMSTRONG AVE
PEORIA, IL
61603-3201

Practice Phone: 309-686-1177
Practice Fax:

1306041660 — EYAD MICHAEL HANNA MD
Practice Location Address:

420 NE GLEN OAK AVE STE 201
PEORIA, IL
61603-3112

Practice Phone: 309-624-2277
Practice Fax:

Directions to “THE PLAID DAISY INC ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.