Healthcare Provider Details

I. General information

NPI: 1275447948
Provider Name (Legal Business Name): SSSK SUPPLIES LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/30/2026
Last Update Date: 09/30/2026
Certification Date: 09/30/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2000 WEBSTER LN
DES PLAINES IL
60018-2723
US

IV. Provider business mailing address

2000 WEBSTER LN
DES PLAINES IL
60018-2723
US

V. Phone/Fax

Practice location:
  • Phone: 646-820-9055
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QU0200X
TaxonomyUrgent Care Clinic/Center
License Number
License Number StateNULL

VIII. Authorized Official

Name: SYED SHAHROZ
Title or Position: CEO
Credential:
Phone: 646-820-9055