Organization
SPACE MEDICAL SUPPLIES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
HANAFI VAQAR AHMED (MANAGER)
(331) 200-9140
Entity
Organization
Contact information
Practice address
308 MEADOW LN, LAKE IN THE HILLS, IL 60156-1229
(331) 200-9140
Mailing address
308 MEADOW LN, LAKE IN THE HILLS, IL 60156-1229
(331) 200-9140
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Enumeration date
06/15/2026
Last updated
06/15/2026
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up