Organization
MGM MEDICAL EQUIPMENT SERVICES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
AYUB TALATI (CEO)
(432) 293-4311
Entity
Organization
Contact information
Practice address
2245 W FARWELL AVE APT 1B, CHICAGO, IL 60645-4861
(432) 293-4311
Mailing address
2245 W FARWELL AVE APT 1B, CHICAGO, IL 60645-4861
Taxonomy
Speciality
Code
Description
License number
State
332BC3200X
Customized Equipment (DME)
Primary
—
—
Other
Enumeration date
03/25/2026
Last updated
03/25/2026
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