Organization Active NPI

Elite Five Star LLC

  • Durable Medical Equipment & Medical Supplies
  • Chicago, IL
National Provider Identifier
1700780376
Registry record updated Oct 6, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
Legal business name
ELITE FIVE STAR LLC
Practice address
2046 W Devon Ave Apt 2
Chicago, IL 60659-2241
Phone
(727) 458-7544
NPI assigned
Oct 6, 2026
Last updated
Oct 6, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 6, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Shoukat Mirza
Title
Ceo
Phone
(727) 458-7544

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X NU Primary

Addresses

Primary practice location

2046 W Devon Ave Apt 2
Chicago, IL 60659-2241

Mailing address

2046 W Devon Ave Apt 2
Chicago, IL 60659-2241
Phone (727) 458-7544

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1791244800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1791244800000",
    "number": "1700780376",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2046 W DEVON AVE APT 2",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606592241",
            "telephone_number": "727-458-7544"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2046 W DEVON AVE APT 2",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606592241",
            "telephone_number": "727-458-7544"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ELITE FIVE STAR LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-10-06",
        "last_updated": "2026-10-06",
        "certification_date": "2026-10-06",
        "status": "A",
        "authorized_official_last_name": "MIRZA",
        "authorized_official_first_name": "SHOUKAT",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "727-458-7544"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "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 6, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.

Verify at the official NPI Registry.