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Organization
ONSITE HEALTH ANCILLARY SERVICES
Active
Organization
ONSITE HEALTH ANCILLARY SERVICES
Active
Parent organization
ONSITE HEALTHCARE, INC., SC
Organization subpart
Yes
Provider details
NPI number
Legal business name
ONSITE HEALTHCARE, INC., SC
Authorized official
ISSAM MAATOUK M.D. (PRESIDENT)
(847) 810-9095
Entity
Organization
Contact information
Practice address
7301 N LINCOLN AVE, SUITE 183, LINCOLNWOOD, IL 60712
(708) 937-8125
(847) 674-0892
Mailing address
5630 LYONS, MORTON GROVE, IL 60053
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
—
—
207R00000X
Internal Medicine Physician
Primary
—
—
207RG0300X
Geriatric Medicine (Internal Medicine) Physician
—
—
208VP0000X
Pain Medicine Physician
—
—
Other
Enumeration date
08/12/2013
Last updated
08/12/2013
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