Organization
TRISYS MEDICAL GROUP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
VICTORIA NODAL (ADMINISTRATOR)
(312) 915-0938
Entity
Organization
Contact information
Practice address
900 N FRANKLIN ST STE 407, CHICAGO, IL 60610-3168
(312) 915-0938
Mailing address
900 N FRANKLIN ST STE 407, CHICAGO, IL 60610-3168
(312) 915-0938
Taxonomy
Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
—
—
3336C0002X
Clinic Pharmacy
Primary
—
—
Other
Enumeration date
09/15/2016
Last updated
09/15/2016
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