Provider Demographics
NPI:1821412941
Name:BJS MARKET, INC
Entity Type:Organization
Organization Name:BJS MARKET, INC
Other - Org Name:BJS MARKET & BAKERY
Other - Org Type:Doing Business As
Authorized Official - Title/Position:SECRETARY
Authorized Official - Prefix:
Authorized Official - First Name:HOPE
Authorized Official - Middle Name:
Authorized Official - Last Name:HEFFNER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:773-415-2838
Mailing Address - Street 1:8734 S STONY ISLAND AVE
Mailing Address - Street 2:
Mailing Address - City:CHICAGO
Mailing Address - State:IL
Mailing Address - Zip Code:60617-2708
Mailing Address - Country:US
Mailing Address - Phone:773-374-4700
Mailing Address - Fax:708-922-0451
Practice Address - Street 1:8734 S STONY ISLAND AVE
Practice Address - Street 2:
Practice Address - City:CHICAGO
Practice Address - State:IL
Practice Address - Zip Code:60617-2708
Practice Address - Country:US
Practice Address - Phone:773-374-4700
Practice Address - Fax:708-922-0451
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-02-10
Last Update Date:2014-02-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL2671-5211332U00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332U00000XSuppliersHome Delivered Meals