Healthcare Provider Details

I. General information

NPI: 1003438003
Provider Name (Legal Business Name): MATTHEW GIRGIS MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/12/2020
Last Update Date: 11/07/2025
Certification Date: 11/07/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

908 N ELM ST STE 306
HINSDALE IL
60521-3625
US

IV. Provider business mailing address

908 N ELM ST STE 306
HINSDALE IL
60521-3625
US

V. Phone/Fax

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

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207YS0012X
TaxonomySleep Medicine (Otolaryngology) Physician
License Number036164419
License Number StateIL
# 2
Primary TaxonomyN
Taxonomy Code207YX0602X
TaxonomyOtolaryngic Allergy Physician
License Number036164419
License Number StateIL
# 3
Primary TaxonomyY
Taxonomy Code207Y00000X
TaxonomyOtolaryngology Physician
License Number036164419
License Number StateIL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: