Organization
PACIFIC MEDICAL EQUIPMENT AND SUPPLIES INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SAMUEL E OKORO (DIRECTOR OF OPERATIONS)
(773) 238-3440
Entity
Organization
Contact information
Practice address
2140 W 95TH ST, CHICAGO, IL 60643-1019
(773) 238-3440
(773) 238-3450
Mailing address
2140 W 95TH ST, CHICAGO, IL 60643-1019
(773) 238-3440
(773) 238-3450
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0001635323
BCBS
IL
Enumeration date
01/30/2007
Last updated
08/10/2011
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