Active NPI
Mila Medical Supply LLC
- Clinic/Center
- Bellwood, IL
National Provider Identifier
1578473203
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinic/Center
- Legal business name
- MILA MEDICAL SUPPLY LLC
- Practice address
- 4010 Monroe St Apt 101
Bellwood, IL 60104-2078 - Phone
- (879) 872-4892
- Fax
- (879) 872-4892
- NPI assigned
- Sep 8, 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
- Rais Fatima Hassan
- Title
- President
- Phone
- (879) 872-4892
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinic/Center | 261Q00000X | Primary | ||
| Primary Care Clinic/Center | 261QP2300X |
Addresses
Primary practice location
4010 Monroe St Apt 101
Bellwood, IL 60104-2078
Mailing address
4010 Monroe St Apt 101
Bellwood, IL 60104-2078
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1788825600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1788825600000",
"number": "1578473203",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4010 MONROE ST APT 101",
"city": "BELLWOOD",
"state": "IL",
"postal_code": "601042078"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4010 MONROE ST APT 101",
"city": "BELLWOOD",
"state": "IL",
"postal_code": "601042078",
"telephone_number": "879-872-4892",
"fax_number": "879-872-4892"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MILA MEDICAL SUPPLY LLC",
"organizational_subpart": "NO",
"enumeration_date": "2026-09-08",
"last_updated": "2026-09-08",
"certification_date": "2026-09-07",
"status": "A",
"authorized_official_last_name": "HASSAN",
"authorized_official_first_name": "RAIS",
"authorized_official_middle_name": "FATIMA",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "879-872-4892"
},
"taxonomies": [
{
"code": "261Q00000X",
"taxonomy_group": "",
"desc": "Clinic/Center",
"state": null,
"license": null,
"primary": true
},
{
"code": "261QP2300X",
"taxonomy_group": "",
"desc": "Clinic/Center, Primary Care",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Bellwood, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 8, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.