Provider Demographics
NPI:1013946201
Name:DRS. GIRGIS & ASSOCIATES, S.C.
Entity Type:Organization
Organization Name:DRS. GIRGIS & ASSOCIATES, S.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:SAMUEL
Authorized Official - Middle Name:J
Authorized Official - Last Name:GIRGIS
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:630-323-5214
Mailing Address - Street 1:908 N ELM ST
Mailing Address - Street 2:SUITE 306
Mailing Address - City:HINSDALE
Mailing Address - State:IL
Mailing Address - Zip Code:60521-3635
Mailing Address - Country:US
Mailing Address - Phone:630-323-5214
Mailing Address - Fax:630-323-5297
Practice Address - Street 1:908 N ELM ST
Practice Address - Street 2:SUITE 306
Practice Address - City:HINSDALE
Practice Address - State:IL
Practice Address - Zip Code:60521-3635
Practice Address - Country:US
Practice Address - Phone:630-323-5214
Practice Address - Fax:630-323-5297
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-07-01
Last Update Date:2021-03-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL042000545207Y00000X
207Y00000X, 207YS0012X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207Y00000XAllopathic & Osteopathic PhysiciansOtolaryngologyGroup - Single Specialty
No207YS0012XAllopathic & Osteopathic PhysiciansOtolaryngologySleep MedicineGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
IL2201577OtherBLUE CROSS
IL991986OtherUNITED HEALTHCARE
IL991986OtherUNITED HEALTHCARE
IL207205Medicare ID - Type UnspecifiedMEDICARE LOCATION 99
IL966691Medicare ID - Type UnspecifiedMEDICARE LOCATION 16