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Mr. Edgar Alexander Barrios, PEDORTHIST
Pedorthist in Spring Valley, Illinois
NPI 1386139145

Edgar Alexander Barrios is a Pedorthist based in Hinsdale, IL. Edgar Alexander Barrios practices in Spring Valley, IL and has the professional credentials of PEDORTHIST. The NPI Number for Edgar Alexander Barrios is 1386139145 and holds a License No. 212000132 (Illinois).

The current practice location address for Edgar Alexander Barrios is 307 W Saint Paul St, Spring Valley, IL and can be reached out via phone at 312-315-6584.

Location: 307 W Saint Paul St, Spring Valley, IL, 60521-2425
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1386139145
Provider Name
Edgar Alexander Barrios
Credential
PEDORTHIST
Provider Entity Type
Individual
Gender
Male
Address
307 W Saint Paul St, Spring Valley, IL, 60521-2425
Phone Number
312-315-6584
Fax Number
Provider Enumeration Date
06/25/2018
Last Update Date
03/10/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
212000132 01 IL ILLINOIS LICENSE
institution
Provider Business Practice Location Address Details
Address
307 W Saint Paul St
City
Spring Valley
State
Illinois
Zip
61362-1860
Phone Number
312-315-6584
Fax Number
person
Provider Business Mailing Address Details
Address
307 W Saint Paul St
City
Spring Valley
State
Illinois
Zip
61362-1860
Phone Number
312-315-6584
Fax Number
person
Provider's Taxonomy Details 1
Type
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Classification
Pedorthist
Speciality
-
Taxonomy
224L00000X
License No.
212000132 (Illinois)
Definition
An individual who is trained in the management and treatment of conditions of the foot, ankle, and lower extremities requiring fitting, fabricating, and adjusting of pedorthic devices.
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