Provider Demographics
NPI:1124107826
Name:APEX DURABLE MEDICAL SUPPLIES INC
Entity type:Organization
Organization Name:APEX DURABLE MEDICAL SUPPLIES INC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MS
Authorized Official - First Name:OYESOLA
Authorized Official - Middle Name:OLARONKE
Authorized Official - Last Name:OKE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:773-764-1959
Mailing Address - Street 1:1354 W DEVON AVE
Mailing Address - Street 2:
Mailing Address - City:CHICAGO
Mailing Address - State:IL
Mailing Address - Zip Code:60660-1345
Mailing Address - Country:US
Mailing Address - Phone:773-764-1959
Mailing Address - Fax:773-764-1963
Practice Address - Street 1:1354 W DEVON AVE
Practice Address - Street 2:
Practice Address - City:CHICAGO
Practice Address - State:IL
Practice Address - Zip Code:60660-1345
Practice Address - Country:US
Practice Address - Phone:773-764-1959
Practice Address - Fax:773-764-1963
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-11-03
Last Update Date:2008-04-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies