Provider Demographics
NPI:1477397214
Name:BARRY, ERIN
Entity type:Individual
Prefix:
First Name:ERIN
Middle Name:
Last Name:BARRY
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3440 W 111TH ST
Mailing Address - Street 2:
Mailing Address - City:CHICAGO
Mailing Address - State:IL
Mailing Address - Zip Code:60655-3302
Mailing Address - Country:US
Mailing Address - Phone:773-429-8912
Mailing Address - Fax:772-429-9850
Practice Address - Street 1:3440 W 111TH ST
Practice Address - Street 2:
Practice Address - City:CHICAGO
Practice Address - State:IL
Practice Address - Zip Code:60655-3302
Practice Address - Country:US
Practice Address - Phone:773-429-8912
Practice Address - Fax:772-429-9850
Is Sole Proprietor?:Yes
Enumeration Date:2024-06-25
Last Update Date:2024-09-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistGroup - Single Specialty