Healthcare Provider Details
I. General information
NPI: 1972416238
Provider Name (Legal Business Name): MS MED CARE LLC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 09/25/2026
Last Update Date: 09/25/2026
Certification Date: 09/25/2026
Deactivation Date:
Reactivation Date:
III. Provider practice location address
5962 N LINCOLN AVE STE U3
CHICAGO IL
60659-3762
US
IV. Provider business mailing address
5962 N LINCOLN AVE STE U3
CHICAGO IL
60659-3762
US
V. Phone/Fax
- Phone: 224-601-4031
- Fax: 888-362-8707
- Phone: 224-998-8171
- Fax: 888-362-8707
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 | |
VIII. Authorized Official
Name:
SADEK
MOUSSAOUI
Title or Position: CEO
Credential:
Phone: 224-601-4031