Provider Demographics
NPI:1235313610
Name:HOPE MEDICAL SUPPLIES AND HOSPITAL EQUIPMENT INC.
Entity Type:Organization
Organization Name:HOPE MEDICAL SUPPLIES AND HOSPITAL EQUIPMENT INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR/PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:OSAYEMWENRE
Authorized Official - Middle Name:
Authorized Official - Last Name:YEMI-EWEKA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:773-463-8391
Mailing Address - Street 1:2650 W MONTROSE AVE
Mailing Address - Street 2:SUITE 107
Mailing Address - City:CHICAGO
Mailing Address - State:IL
Mailing Address - Zip Code:60618-1560
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:2650 W MONTROSE AVE
Practice Address - Street 2:SUITE 107
Practice Address - City:CHICAGO
Practice Address - State:IL
Practice Address - Zip Code:60618-1560
Practice Address - Country:US
Practice Address - Phone:773-463-8391
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-12-21
Last Update Date:2007-12-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL332B00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies