Healthcare Provider Details

I. General information

NPI: 1871468264
Provider Name (Legal Business Name): MM SUPPLIES INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/07/2025
Last Update Date: 04/09/2026
Certification Date: 04/09/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

259 E RAND RD STE 205
MOUNT PROSPECT IL
60056-2184
US

IV. Provider business mailing address

259 E RAND RD STE 205
MOUNT PROSPECT IL
60056-2184
US

V. Phone/Fax

Practice location:
  • Phone: 551-344-7630
  • 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 State

VIII. Authorized Official

Name: FNU MOHAMMED MASOOD
Title or Position: MANAGER
Credential:
Phone: 551-344-7630