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Organization
ONSITE DIAGNOSTICS, SC
Active
Organization
ONSITE DIAGNOSTICS, SC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ISSAM MAATOUK MD (OWNER)
(847) 810-9095
Entity
Organization
Contact information
Practice address
5630 LYONS ST, MORTON GROVE, IL 60053-1546
(847) 810-9095
Mailing address
5630 LYONS ST, MORTON GROVE, IL 60053-1546
(847) 810-9095
Taxonomy
Speciality
Code
Description
License number
State
207RS0012X
Sleep Medicine (Internal Medicine) Physician
—
NULL
207RS0012X
Sleep Medicine (Internal Medicine) Physician
—
—
2085R0202X
Diagnostic Radiology Physician
—
NULL
2085R0202X
Diagnostic Radiology Physician
—
—
2085U0001X
Diagnostic Ultrasound Physician
Primary
—
NULL
2085U0001X
Diagnostic Ultrasound Physician
Primary
—
—
Other
Enumeration date
10/03/2014
Last updated
10/03/2014
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