# MILA MEDICAL SUPPLY LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1578473203
- **Authorized official:** RAIS FATIMA HASSAN (PRESIDENT)
- **Authorized official phone:** (879) 872-4892

## Contact information

- **Practice address:** 4010 MONROE ST APT 101, BELLWOOD, IL 60104-2078
- **Practice address phone:** (879) 872-4892
- **Practice address fax:** (879) 872-4892
- **Mailing address:** 4010 MONROE ST APT 101, BELLWOOD, IL 60104-2078

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261Q00000X | Clinic/Center | — | NULL | Yes |
| 261QP2300X | Primary Care Clinic/Center | — | NULL | — |

## Other

- **Enumeration date:** 09/08/2026
- **Last updated:** 09/08/2026