Trisys Medical Group

Primary specialty

Clinic PharmacyTaxonomy code 3336C0002X

Legal business name

TRISYS MEDICAL GROUP

Practice address

900 N Franklin St Ste 407
Chicago, IL 60610-3168

Phone

(312) 915-0938

NPI assigned

Sep 15, 2016

Organization subpart

No

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

Authorized official

Name

Victoria Nodal

Title

Administrator

Phone

(312) 915-0938

Specialties & licenses 2

Addresses

Locations

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

{
    "created_epoch": "1473897600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1473897600000",
    "number": "1780132068",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "900 N FRANKLIN ST STE 407",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606103168",
            "telephone_number": "312-915-0938"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "900 N FRANKLIN ST STE 407",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606103168",
            "telephone_number": "312-915-0938"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TRISYS MEDICAL GROUP",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-09-15",
        "last_updated": "2016-09-15",
        "status": "A",
        "authorized_official_last_name": "NODAL",
        "authorized_official_first_name": "VICTORIA",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "312-915-0938"
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0002X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Clinic Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Triumph Community Services
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• Dana Trivanovic

• Clinic Pharmacy in Chicago, IL
• Providers in Chicago, IL by specialty
• Clinic Pharmacy in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 15, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.