Organization
ANIMATE PEDORTHICS ORTHOTICS PROSTHETICS 4U INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ALEXANDER BARRIOS PEDORTHIST (CEO)
(312) 315-6584
Entity
Organization
Contact information
Practice address
307 W SAINT PAUL ST, SPRING VALLEY, IL 61362-1860
(815) 663-8418
Mailing address
307 W SAINT PAUL ST, SPRING VALLEY, IL 61362-1860
(815) 663-8418
(815) 410-4158
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
332BC3200X
Customized Equipment (DME)
Primary
—
—
Other
Enumeration date
06/09/2021
Last updated
06/09/2021
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