Organization
NIYRAA LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MOHAMMED IBRAHIM QUADRI (AUTHORIZED OFFICIAL)
(815) 701-1033
Entity
Organization
Contact information
Practice address
741 S MCHENRY AVE STE E, CRYSTAL LAKE, IL 60014-7445
(815) 701-1033
Mailing address
741 S MCHENRY AVE STE E, CRYSTAL LAKE, IL 60014-7445
(815) 701-1033
Taxonomy
Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
—
—
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
333600000X
Pharmacy
—
—
Other
Enumeration date
11/22/2021
Last updated
04/11/2026
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