| NPI | 1013536622 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | EDGAR ALEXANDER BARRIOS Owner/CEO 312-315-6584 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Additional Taxonomies | 222Z00000X Orthotist |
| 224L00000X Pedorthist | |
| 225000000X Orthotic Fitter | |
| 335E00000X Prosthetic/Orthotic Supplier | |
| Enumeration Date | 2020-04-14 |
| Last Update Date | 2020-04-16 |