Provider Demographics
NPI:1659640795
Name:BCA MEDICAL EQUIPMENT, INC
Entity Type:Organization
Organization Name:BCA MEDICAL EQUIPMENT, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:BENJAMIN
Authorized Official - Middle Name:CHUKWUMA
Authorized Official - Last Name:ANYASOR
Authorized Official - Suffix:
Authorized Official - Credentials:ADMIN
Authorized Official - Phone:773-265-5950
Mailing Address - Street 1:3713 W CHICAGO AVE
Mailing Address - Street 2:
Mailing Address - City:CHICAGO
Mailing Address - State:IL
Mailing Address - Zip Code:60651-3821
Mailing Address - Country:US
Mailing Address - Phone:773-265-5950
Mailing Address - Fax:773-265-5991
Practice Address - Street 1:3713 W CHICAGO AVE
Practice Address - Street 2:
Practice Address - City:CHICAGO
Practice Address - State:IL
Practice Address - Zip Code:60651-3821
Practice Address - Country:US
Practice Address - Phone:773-265-5950
Practice Address - Fax:773-265-5991
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-12-19
Last Update Date:2011-12-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies