Provider Demographics
NPI:1922322924
Name:BENEFICIAL MEDICAL SUPPLIES INC
Entity Type:Organization
Organization Name:BENEFICIAL MEDICAL SUPPLIES INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:SHAYAAN
Authorized Official - Middle Name:
Authorized Official - Last Name:BARDAY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:630-293-0600
Mailing Address - Street 1:245 W. ROOSEVELT ROAD
Mailing Address - Street 2:BUILDING 4 SUITE 31
Mailing Address - City:WEST CHICAGO
Mailing Address - State:IL
Mailing Address - Zip Code:60185-4806
Mailing Address - Country:US
Mailing Address - Phone:630-293-0600
Mailing Address - Fax:630-293-0601
Practice Address - Street 1:245 W. ROOSEVELT ROAD
Practice Address - Street 2:BUILDING 4 SUITE 31
Practice Address - City:WEST CHICAGO
Practice Address - State:IL
Practice Address - Zip Code:60185-4806
Practice Address - Country:US
Practice Address - Phone:630-293-0600
Practice Address - Fax:630-293-0601
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-03-18
Last Update Date:2023-11-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL203.001187332B00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies
Provider Identifiers
StateIdentifier IDID TypeIssuer
6457330001Medicare NSC