Organization Active NPI

Bgar Enterprises Corp.

  • Durable Medical Equipment & Medical Supplies
  • Country Club Hills, IL
National Provider Identifier
1891979357
Registry record updated Oct 19, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
Legal business name
BGAR ENTERPRISES CORP.
Practice address
19041 Martin Lane
Country Club Hills, IL 60478-5458
Phone
(773) 595-0505
Fax
(773) 233-9010
NPI assigned
Dec 19, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 19, 2010

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Balfour G .a. Redley
Title
Owner/President
Phone
(773) 595-0505

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X IL Primary

Addresses

Primary practice location

19041 Martin Lane
Country Club Hills, IL 60478-5458

Mailing address

9303 S Vanderpoel Ave
Suite C100
Chicago, IL 60643-5853
Phone (773) 595-0505

National Provider Directory

National Provider Directory

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1198022400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1287446400000",
    "number": "1891979357",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9303 S VANDERPOEL AVE",
            "address_2": "SUITE C100",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606435853",
            "telephone_number": "773-595-0505",
            "fax_number": "773-233-9010"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19041 MARTIN LANE",
            "city": "COUNTRY CLUB HILLS",
            "state": "IL",
            "postal_code": "604785458",
            "telephone_number": "773-595-0505",
            "fax_number": "773-233-9010"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BGAR ENTERPRISES CORP.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-12-19",
        "last_updated": "2010-10-19",
        "status": "A",
        "authorized_official_last_name": "REDLEY",
        "authorized_official_first_name": "BALFOUR",
        "authorized_official_middle_name": "G .A.",
        "authorized_official_title_or_position": "OWNER/PRESIDENT",
        "authorized_official_telephone_number": "773-595-0505"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "IL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Country Club Hills, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 19, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.