MEDICARE: NORTHERN ILLINOIS MEDICAL SUPPLY LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	261QU0200X	Urgent Care Clinic/Center

General Provider Information

NPI Number	:	1386570349
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	NORTHERN ILLINOIS MEDICAL SUPPLY LLC

Provider Business Mailing Address
First Line	:	119 E PALATINE RD STE 108
Second Line	:
City	:	PALATINE
State	:	IL
Zip	:	60067-5131
Country	:	US
Telephone Number	:	551-294-3193
Fax Number	:

Provider Business Practice Location Address
First Line	:	119 E PALATINE RD STE 108
Second Line	:
City	:	PALATINE
State	:	IL
Zip	:	60067-5131
Country	:	US
Telephone Number	:	551-294-3193
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	MUHAMMAD SALMAN AFZAL
Credential	:
Telephone Number	:	847-847-6129

Provider Enumeration Date	:	06/18/2026
Last Update Date	:	06/18/2026

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