Triple S Medical Care S.C.

Primary specialty

Primary Care Clinic/CenterTaxonomy code 261QP2300X

License

036.129213 Issued in IL

Legal business name

TRIPLE S MEDICAL CARE S.C.

Practice address

6455 S Pulaski Rd
Chicago, IL 60629

Phone

(773) 735-3456

Fax

(773) 735-3279

NPI assigned

Nov 5, 2012

Organization subpart

No

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

Authorized official

Name

Yousry Girgis Sr., M.D.NPI 1710265970

Title

President

Phone

(331) 425-2374

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in IL

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Yousry Girgis, MD

  • Internal Medicine Physician
  • Darien, IL
  • NPI 1710265970
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1352073600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1563235200000",
    "number": "1043564529",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8428 ARROWHEAD FARM DR",
            "city": "BURR RIDGE",
            "state": "IL",
            "postal_code": "605270822"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6455 S PULASKI RD",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "60629",
            "telephone_number": "773-735-3456",
            "fax_number": "773-735-3279"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6625 S Pulaski Rd",
            "address_purpose": "LOCATION",
            "city": "Chicago",
            "state": "IL",
            "postal_code": "606295137",
            "country_code": "US",
            "telephone_number": "773-585-1555",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "TRIPLE S MEDICAL CARE S.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-11-05",
        "last_updated": "2019-07-16",
        "status": "A",
        "authorized_official_last_name": "GIRGIS",
        "authorized_official_first_name": "YOUSRY",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "331-425-2374",
        "authorized_official_name_suffix": "Sr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "IL",
            "license": "036.129213",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Shashwat Tripathi
• Anusmita Tripathy, MD
• Swetapadma Tripathy
• Triple C Counseling PLLC
• Triple G Wellness Corporation
• Triple TTT LLC
• Triple TTT LLC
• Triple TTT LLC
• Cherrell Lanae Triplett, MD
• Michael Patrick Tripp, MD

• Primary Care Clinic/Center in Chicago, IL
• Providers in Chicago, IL by specialty
• Primary Care Clinic/Center in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 16, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.