Active NPI
Medvin Supplies LLC
- Clinic/Center
- Chicago, IL
National Provider Identifier
1457255580
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinic/Center
- Legal business name
- MEDVIN SUPPLIES LLC
- Practice address
- 4001 W Devon Ave Ste 320
Chicago, IL 60646-4527 - Phone
- (312) 479-4712
- NPI assigned
- Oct 3, 2026
- Last updated
- Oct 3, 2026
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mohammed Asadullah Shoaib
- Title
- Owner
- Phone
- (312) 479-4712
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinic/Center | 261Q00000X | NU | Primary |
Addresses
Primary practice location
4001 W Devon Ave Ste 320
Chicago, IL 60646-4527
Mailing address
4001 W Devon Ave Ste 320
Chicago, IL 60646-4527
Phone (312) 479-4712
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1790985600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1790985600000",
"number": "1457255580",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4001 W DEVON AVE STE 320",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606464527",
"telephone_number": "312-479-4712"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4001 W DEVON AVE STE 320",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606464527",
"telephone_number": "312-479-4712"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MEDVIN SUPPLIES LLC",
"organizational_subpart": "NO",
"enumeration_date": "2026-10-03",
"last_updated": "2026-10-03",
"certification_date": "2026-10-03",
"status": "A",
"authorized_official_last_name": "ASADULLAH SHOAIB",
"authorized_official_first_name": "MOHAMMED",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "312-479-4712"
},
"taxonomies": [
{
"code": "261Q00000X",
"taxonomy_group": "",
"desc": "Clinic/Center",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Chicago, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 3, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.