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Organization
MEDLYRA SUPPLY LLC
Active
Organization
MEDLYRA SUPPLY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MOHAMMED ASADULLAH SHOAIB (OWNER)
(312) 479-4712
Entity
Organization
Contact information
Practice address
4001 W DEVON AVE STE 320, CHICAGO, IL 60646-4527
(312) 479-4712
Mailing address
4001 W DEVON AVE STE 320, CHICAGO, IL 60646-4527
(312) 479-4712
Taxonomy
Speciality
Code
Description
License number
State
261QM1300X
Multi-Specialty Clinic/Center
Primary
—
NULL
Other
Enumeration date
09/25/2026
Last updated
09/25/2026
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