Bisi Beauty Supply, Inc.

Primary specialty

Prosthetic/Orthotic SupplierTaxonomy code 335E00000X

Legal business name

BISI BEAUTY SUPPLY, INC.

Practice address

9556 W 147TH St
Orland Park, IL 60462-2502

Phone

(708) 873-3004

NPI assigned

Jul 13, 2010

Last updated

Jul 13, 2010By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mrs. Monsurat Nwokenkwo

Title

Owner

Phone

(708) 873-3004

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1278979200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1278979200000",
    "number": "1942512389",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9556 W 147TH ST",
            "city": "ORLAND PARK",
            "state": "IL",
            "postal_code": "604622502",
            "telephone_number": "708-873-3004",
            "fax_number": "773-777-6633"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9556 W 147TH ST",
            "city": "ORLAND PARK",
            "state": "IL",
            "postal_code": "604622502",
            "telephone_number": "708-873-3004"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BISI BEAUTY SUPPLY, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-07-13",
        "last_updated": "2010-07-13",
        "status": "A",
        "authorized_official_last_name": "NWOKENKWO",
        "authorized_official_first_name": "MONSURAT",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "708-873-3004",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "335E00000X",
            "taxonomy_group": "",
            "desc": "Prosthetic/Orthotic Supplier",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Andrea Bird, DT
• Ewa Blachowicz, NP,APN
• Latonya Black, PTA
• Maria Regina Blackburn, MSW
• Rebecca Ann Blackett, MS, BCBA
• Tracy R Blake, RD

• Prosthetic/Orthotic Supplier in Orland Park, IL
• Providers in Orland Park, IL by specialty
• Prosthetic/Orthotic Supplier in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 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.