Healthcare Provider Details
I. General information
NPI: 1851204531
Provider Name (Legal Business Name): ASTERLINE HOME MEDICAL LLC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 09/24/2026
Last Update Date: 09/24/2026
Certification Date: 09/24/2026
Deactivation Date:
Reactivation Date:
III. Provider practice location address
4001 W DEVON AVE STE 300
CHICAGO IL
60646-4538
US
IV. Provider business mailing address
4001 W DEVON AVE STE 300
CHICAGO IL
60646-4538
US
V. Phone/Fax
- Phone: 224-550-0711
- Fax: 224-550-0711
- Phone: 224-550-0711
- Fax: 224-550-0711
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 332B00000X |
| Taxonomy | Durable Medical Equipment & Medical Supplies |
| License Number | |
| License Number State | NULL |
VIII. Authorized Official
Name: MR.
MUNEER
SYED
HASAN
Title or Position: MANAGING MEMBER
Credential:
Phone: 224-550-0711