Pack Machine Incorporated

Primary specialty

Customized Equipment (DME)Taxonomy code 332BC3200X

License

212000132 Issued in IL

Legal business name

PACK MACHINE INCORPORATED

Practice address

307 W Saint Paul St
Spring Valley, IL 61362-1860

Phone

(312) 315-6584

NPI assigned

Jun 26, 2018

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mr. Edgar Alexander Barrios, PEDORTHISTNPI 1386139145

Title

President

Phone

(312) 315-6584

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• N/A Other name

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Edgar Alexander Barrios, PEDORTHIST

  • Pedorthist
  • Spring Valley, IL
  • NPI 1386139145
  NPD (past) Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1529971200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1529971200000",
    "number": "1992290647",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "307 W SAINT PAUL ST",
            "city": "SPRING VALLEY",
            "state": "IL",
            "postal_code": "613621860",
            "telephone_number": "312-315-6584"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "307 W SAINT PAUL ST",
            "city": "SPRING VALLEY",
            "state": "IL",
            "postal_code": "613621860",
            "telephone_number": "312-315-6584"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PACK MACHINE INCORPORATED",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-06-26",
        "last_updated": "2018-06-26",
        "status": "A",
        "authorized_official_last_name": "BARRIOS",
        "authorized_official_first_name": "EDGAR",
        "authorized_official_middle_name": "ALEXANDER",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "312-315-6584",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "PEDORTHIST"
    },
    "taxonomies": [
        {
            "code": "332BC3200X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Customized Equipment",
            "state": "IL",
            "license": "212000132",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ILLINOIS LICENSE",
            "identifier": "212000132",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "N/A",
            "code": "5",
            "type": "Other Name"
        },
        {
            "organization_name": "N/A",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Mendota Community Hospital
• Michael S Morrow, MD
• Robert W Morrow III, MD
• Amanda Neurohr, OTR, ATC
• Nicole Edith Norris, M.D.
• Ram S. Pankaj, MD
• Cameron Phalen
• Merle A Piacenti, MD
• Prairieland Private Duty
• Catrese Regalado-Johnson

• Customized Equipment (DME) in Spring Valley, IL
• Providers in Spring Valley, IL by specialty
• Customized Equipment (DME) in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 26, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.