Provider Demographics
NPI:1437379252
Name:SILVER EXPRESS MEDICAL SUPPLY INC
Entity type:Organization
Organization Name:SILVER EXPRESS MEDICAL SUPPLY INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:CHIDI
Authorized Official - Middle Name:CHARLES
Authorized Official - Last Name:IKE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:773-783-5975
Mailing Address - Street 1:6713 S HALSTED ST
Mailing Address - Street 2:SAME
Mailing Address - City:CHICAGO
Mailing Address - State:IL
Mailing Address - Zip Code:60621-1813
Mailing Address - Country:US
Mailing Address - Phone:773-783-5975
Mailing Address - Fax:773-783-5977
Practice Address - Street 1:6713 S HALSTED ST
Practice Address - Street 2:SAME
Practice Address - City:CHICAGO
Practice Address - State:IL
Practice Address - Zip Code:60621-1813
Practice Address - Country:US
Practice Address - Phone:773-783-5975
Practice Address - Fax:773-783-5977
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-04-26
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies