Healthcare Provider Details

I. General information

NPI: 1013946201
Provider Name (Legal Business Name): DRS. GIRGIS & ASSOCIATES, S.C.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/01/2006
Last Update Date: 03/25/2021
Certification Date: 03/25/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

908 N ELM ST SUITE 306
HINSDALE IL
60521-3635
US

IV. Provider business mailing address

908 N ELM ST SUITE 306
HINSDALE IL
60521-3635
US

V. Phone/Fax

Practice location:
  • Phone: 630-323-5214
  • Fax: 630-323-5297
Mailing address:
  • Phone: 630-323-5214
  • Fax: 630-323-5297

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207Y00000X
TaxonomyOtolaryngology Physician
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code207YS0012X
TaxonomySleep Medicine (Otolaryngology) Physician
License Number
License Number State
# 3
Primary TaxonomyY
Taxonomy Code207Y00000X
TaxonomyOtolaryngology Physician
License Number042000545
License Number StateIL

VIII. Authorized Official

Name: DR. SAMUEL J. GIRGIS
Title or Position: PRESIDENT
Credential: M.D.
Phone: 630-323-5214