Provider Demographics
NPI:1992747323
Name:PATIENT CHOICE MEDICAL EQUIPMENT INC
Entity type:Organization
Organization Name:PATIENT CHOICE MEDICAL EQUIPMENT INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MGR
Authorized Official - Prefix:
Authorized Official - First Name:SYED
Authorized Official - Middle Name:MAHMOOD
Authorized Official - Last Name:HUSSAIN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:630-341-4147
Mailing Address - Street 1:2723 W DEVON AVE
Mailing Address - Street 2:
Mailing Address - City:CHICAGO
Mailing Address - State:IL
Mailing Address - Zip Code:60659-1703
Mailing Address - Country:US
Mailing Address - Phone:773-465-2621
Mailing Address - Fax:773-465-2645
Practice Address - Street 1:2723 W DEVON AVE
Practice Address - Street 2:
Practice Address - City:CHICAGO
Practice Address - State:IL
Practice Address - Zip Code:60659-1703
Practice Address - Country:US
Practice Address - Phone:773-465-2621
Practice Address - Fax:773-465-2645
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-06-11
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL332B00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies
Provider Identifiers
StateIdentifier IDID TypeIssuer
IL01634979OtherBLUECROSS BLUE SHIELD
IL=========002Medicaid