Individual ProviderLarry BarrientosNurse PractitionerPhysician Assistants & Advanced Practice Nursing ProvidersPractice Address1325 Remington Rd, Ste X, Schaumburg, IL 60173-4834(630) 237-4500(708) 941-5639PECOS EnrollmentBased on the most recent information from CMS, provider Larry Barrientos does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records 3 days ago.Profile DetailsProvider ID1689111858Provider TypeIndividualFull NameBarrientos, LarryCredentialAPNGenderMaleSole ProprietorNoEnumeration Date1/26/2017Last Updated1/26/2017Contact InformationPractice LocationPractice Address1325 Remington Rd, Ste X, Schaumburg, IL 60173-4834Phone(630) 237-4500FaxUnlisted FaxMailing LocationMailing Address13955 S King Rd, Homer Glen, IL 60491-8512Phone(708) 941-5639FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode363L00000XPrimaryDescriptionNurse PractitionerPhysician Assistants & Advanced Practice Nursing ProvidersLicense209015097IllinoisProvider IdentifiersIDDescriptionIssuerID452502430DescriptionOtherIssuerTAX IDIllinois