Provider Demographics
NPI:1295858231
Name:BENJIES MEDICAL EQUIPMENT USA LIMITED.
Entity Type:Organization
Organization Name:BENJIES MEDICAL EQUIPMENT USA LIMITED.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MR
Authorized Official - First Name:BENJAMIN
Authorized Official - Middle Name:C
Authorized Official - Last Name:ANYASOR
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:773-722-9508
Mailing Address - Street 1:3713 W CHICAGO AVE
Mailing Address - Street 2:SUITE 210
Mailing Address - City:CHICAGO
Mailing Address - State:IL
Mailing Address - Zip Code:60651-3821
Mailing Address - Country:US
Mailing Address - Phone:773-722-9508
Mailing Address - Fax:773-722-7366
Practice Address - Street 1:3713 W CHICAGO AVE
Practice Address - Street 2:SUITE 210
Practice Address - City:CHICAGO
Practice Address - State:IL
Practice Address - Zip Code:60651-3821
Practice Address - Country:US
Practice Address - Phone:773-722-9508
Practice Address - Fax:773-722-7366
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-04-06
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL001332B00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies
Provider Identifiers
StateIdentifier IDID TypeIssuer
IL=========001Medicaid
IL5684820001Medicare NSC