Healthcare Provider Details
I. General information
NPI: 1124949581
Provider Name (Legal Business Name): IRIS & CO INC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 07/22/2026
Last Update Date: 07/22/2026
Certification Date: 07/22/2026
Deactivation Date:
Reactivation Date:
III. Provider practice location address
8961 W GOLF RD
NILES IL
60714-5812
US
IV. Provider business mailing address
250 MONROE AVE NW STE 400
GRAND RAPIDS MI
49503-2293
US
V. Phone/Fax
- Phone: 773-562-0210
- Fax:
- Phone: 773-562-0210
- Fax:
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:
HABEEB
JAFFAR
Title or Position: OWNER
Credential:
Phone: 773-562-0210