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General NPI Number Information
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NPI Number | 1265342372
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Entity Type | Organization
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Legal Business Name | MAXWELL SUPPLIES LLC
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Dates
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Enumeration Date | 09/10/2026
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Last Update Date | 09/12/2026
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Provider Practice Location Address
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Address Line | 4827 ELM ST APT 3
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City | SKOKIE
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State | IL
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Zip | 60077-5210
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Country | US
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Telephone | 773-587-4510
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Fax |
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Provider Business Mailing Address
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Address Line | 4827 ELM ST APT 3
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City | SKOKIE
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State | IL
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Zip | 60077-5210
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Country | US
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Telephone | 773-587-4510
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | MR. KAREEM KHAN
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Credential |
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Telephone | 773-587-4510
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QU0200X
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Taxonomy Name | Urgent Care Clinic/Center
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 291U00000X
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Taxonomy Name | Clinical Medical Laboratory
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License Number |
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License Number State |
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