Healthcare Provider Details

I. General information

NPI: 1306703574
Provider Name (Legal Business Name): GRACE MEDICAL SUPPLIES INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/08/2026
Last Update Date: 01/08/2026
Certification Date: 01/08/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5901 N CICERO AVE STE 100A
CHICAGO IL
60646-5715
US

IV. Provider business mailing address

5901 N CICERO AVE STE 100A
CHICAGO IL
60646-5715
US

V. Phone/Fax

Practice location:
  • Phone: 773-321-6384
  • Fax:
Mailing address:
  • Phone: 773-321-6384
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code332B00000X
TaxonomyDurable Medical Equipment & Medical Supplies
License Number
License Number State

VIII. Authorized Official

Name: MOHAMMED MANSOOR ALI
Title or Position: MANAGER
Credential:
Phone: 773-312-6384