Animate Pedorthics Orthotics & Prosthetics LLC
Durable Medical Equipment & Medical Supplies in Spring Valley, IL. Organization (NPI-2).
NPI number1013536622
StatusActive
Last updated in NPPESApr 16, 2020
Details
- NPI
- 1013536622
- Entity type
- Organization (NPI-2)
- Legal business name
- Animate Pedorthics Orthotics & Prosthetics LLC
- Organization subpart
- No
- Enumeration date
- Apr 14, 2020
- Certification date
- Apr 16, 2020
- Last updated
- Apr 16, 2020
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 332B00000X | Durable Medical Equipment & Medical Supplies | – | – | Yes |
| 222Z00000X | – | – | ||
| 224L00000X | Pedorthist | – | – | |
| 225000000X | Orthotic Fitter | – | – | |
| 335E00000X | Prosthetic/Orthotic Supplier | – | – |
Practice location
307 W Saint Paul StSpring Valley, IL 61362-1860
Phone 312-315-6584
Mailing address
5512 S Washington StHinsdale, IL 60521-4914
Phone 312-315-6584
Authorized official
Edgar Alexander Barrios
Owner/Ceo
3123156584
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