Organization Active NPI

East Shoreline Supplies Inc

  • Durable Medical Equipment & Medical Supplies
  • Mount Prospect, IL
National Provider Identifier
1902777600
Registry record updated Dec 16, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
Legal business name
EAST SHORELINE SUPPLIES INC
Practice address
1699 Wall St Ste 550C
Mount Prospect, IL 60056-5786
Phone
(213) 568-8302
NPI assigned
Sep 15, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 16, 2025

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

Authorized official

Name
Unknown Muhammad Shahid Ali
Title
Manager
Phone
(213) 568-8302

Specialties & licenses 1

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

Addresses

Primary practice location

1699 Wall St Ste 550C
Mount Prospect, IL 60056-5786

Mailing address

1699 Wall St Ste 550C
Mount Prospect, IL 60056

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
14D2332174East Shoreline Supplies Inc1699 Wall St - Ste 550C, Mount Prospect, IL 60056Certificate of waiverOct 14, 2027

National Provider Directory

National Provider Directory

Locations

1699 Wall St
Ste 550C
Mount Prospect, IL 60056
Phone (213) 568-8302

NPI Registry JSON

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

{
    "created_epoch": "1757894400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1765843200000",
    "number": "1902777600",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1699 WALL ST STE 550C",
            "city": "MOUNT PROSPECT",
            "state": "IL",
            "postal_code": "60056"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1699 WALL ST STE 550C",
            "city": "MOUNT PROSPECT",
            "state": "IL",
            "postal_code": "600565786",
            "telephone_number": "213-568-8302"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EAST SHORELINE SUPPLIES INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-09-15",
        "last_updated": "2025-12-16",
        "certification_date": "2025-12-16",
        "status": "A",
        "authorized_official_last_name": "MUHAMMAD SHAHID ALI",
        "authorized_official_first_name": "UNKNOWN",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "213-568-8302"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mount Prospect, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 16, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.