Organization
GRACE MEDICAL SUPPLIES INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MOHAMMED MANSOOR ALI (MANAGER)
(773) 312-6384
Entity
Organization
Contact information
Practice address
5901 N CICERO AVE STE 100A, CHICAGO, IL 60646-5715
(773) 321-6384
Mailing address
5901 N CICERO AVE STE 100A, CHICAGO, IL 60646-5715
(773) 321-6384
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Enumeration date
01/08/2026
Last updated
01/08/2026
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