Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1386139145 Individual Practitioner Male Practitioner

Edgar Alexander Barrios , PEDORTHIST

Pedorthist • Spring Valley, IL

Professional Overview & Biography Verified Profile Summary

Edgar Barrios, PEDORTHIST is a registered healthcare professional specializing in Pedorthist in Spring Valley, IL. Practice services are available at 307 W SAINT PAUL ST under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

307 W Saint Paul St

Spring Valley, IL 613621860

Telephone 3123156584
Associated Practice Facility / Clinic
🏢 Pack Machine Incorporated Facility NPI 1992290647

Specialty Benchmarks & Practice Insights

Comparative analytics for Pedorthist in Spring Valley, IL

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 10.2 Yrs
Regional Practice Density
1 Specialists

Practicing in Spring Valley, IL (11 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Pedorthist Primary Specialty

NUCC Taxonomy Code: 224L00000X

State License IL 212000132

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.

Additional State Medicaid & Healthcare Payer Identifiers

Commercial Insurance / Payer ID Illinois License
212000132 (IL)

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

1 Associated Practitioners
NPI 1083376982

Certified Prosthetist Orthotist

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events
NPI Profile Active June 25, 2018

NPI status registered as active in NPPES database

📍
Updated Practice Location June 25, 2018

Registered at 307 W SAINT PAUL ST, SPRING VALLEY, IL 613621860 (Tel: 3123156584)

📍
Updated Business Mailing Address June 25, 2018

Registered at 702 JUSTINA ST, HINSDALE, IL 605212425 (Tel: 3123156584)

👤
Provider Name / Credentials Updated June 25, 2018

Recorded as EDGAR BARRIOS, PEDORTHIST

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) June 25, 2018

Pedorthist (License #212000132 in IL)

🟢
Initial NPI Registration & Enumeration June 25, 2018

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1386139145
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: June 25, 2018
Last Update: June 25, 2018
Sole Proprietor: Yes

Mailing Address

702 Justina St

Hinsdale, IL 605212425

Phone: 3123156584

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.