Healthcare Provider Details

I. General information

NPI: 1285579706
Provider Name (Legal Business Name): NEXA MED SUPPLIES INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/21/2026
Last Update Date: 04/21/2026
Certification Date: 04/21/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3525 W PETERSON AVE STE 113
CHICAGO IL
60659-3313
US

IV. Provider business mailing address

3525 W PETERSON AVE STE 113
CHICAGO IL
60659-3313
US

V. Phone/Fax

Practice location:
  • Phone: 929-754-4415
  • Fax:
Mailing address:
  • Phone: 929-754-4415
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QH0100X
TaxonomyHealth Service Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: ADNAN T QURESHI
Title or Position: OWNER
Credential:
Phone: 929-754-4415