Healthcare Provider Details

I. General information

NPI: 1477409860
Provider Name (Legal Business Name): MEDISURE LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/07/2026
Last Update Date: 03/17/2026
Certification Date: 03/17/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

9100 BIRCH AVE
MORTON GROVE IL
60053-2324
US

IV. Provider business mailing address

9100 BIRCH AVE
MORTON GROVE IL
60053-2324
US

V. Phone/Fax

Practice location:
  • Phone: 713-912-0654
  • Fax: 872-309-2063
Mailing address:
  • Phone: 713-912-0654
  • Fax: 872-309-2063

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: ASAD KHAN
Title or Position: OWNER
Credential:
Phone: 713-912-0654