| Triple S Medical Care S.c. | |
|
6455 S Pulaski Rd Chicago IL 60629 | |
| (773) 735-3456 | |
| (773) 735-3279 |
| Full Name | Triple S Medical Care S.c. |
|---|---|
| Speciality | Clinic/Center |
| Location | 6455 S Pulaski Rd, Chicago, Illinois |
| Authorized Official Name and Position | Yousry Girgis (PRESIDENT) |
| Authorized Official Contact | 3314252374 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Triple S Medical Care S.c. 8428 Arrowhead Farm Dr Burr Ridge IL 60527-0822 Ph: () - | Triple S Medical Care S.c. 6455 S Pulaski Rd Chicago IL 60629 Ph: (773) 735-3456 |
| NPI Number | 1043564529 |
|---|---|
| Provider Enumeration Date | 11/05/2012 |
| Last Update Date | 07/16/2019 |
| Medicare PECOS PAC ID | 6901050467 |
|---|---|
| Medicare Enrollment ID | O20130208000282 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1043564529 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | 036.129213 (Illinois) | Primary |
| Provider Name | Yousry Gabra Sidhum Girgis |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1710265970 PECOS PAC ID: 4789834227 Enrollment ID: I20130112000016 |
| Provider Name | Nasser A Boshra |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1134425085 PECOS PAC ID: 9830332972 Enrollment ID: I20130821000525 |
| Provider Name | Kerolos Tawfeek |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1891145652 PECOS PAC ID: 2567717184 Enrollment ID: I20181217003169 |
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