Healthcare Provider Details

I. General information

NPI: 1285544361
Provider Name (Legal Business Name): A-ONE SUPPLIES LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/10/2026
Last Update Date: 09/12/2026
Certification Date: 09/12/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4827 ELM ST APT 3
SKOKIE IL
60077-5210
US

IV. Provider business mailing address

4827 ELM ST APT 3
SKOKIE IL
60077-5210
US

V. Phone/Fax

Practice location:
  • Phone: 773-587-4510
  • Fax:
Mailing address:
  • Phone: 773-587-4510
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QU0200X
TaxonomyUrgent Care Clinic/Center
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code291U00000X
TaxonomyClinical Medical Laboratory
License Number
License Number State

VIII. Authorized Official

Name: MR. KAREEM KHAN
Title or Position: OWNER
Credential:
Phone: 773-587-4510