Individual
LARRY BARRIENTOS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
APN
Contact information
Practice address
1325 REMINGTON RD, STE X, SCHAUMBURG, IL 60173-4834
(630) 237-4500
Mailing address
13955 S KING RD, HOMER GLEN, IL 60491-8512
(708) 941-5639
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
209015097
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
452502430
TAX ID
IL
Enumeration date
01/26/2017
Last updated
01/26/2017
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