# ONSITE DIAGNOSTICS, SC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1760885750
- **Authorized official:** ISSAM MAATOUK MD (OWNER)
- **Authorized official phone:** (847) 810-9095

## Contact information

- **Practice address:** 5630 LYONS ST, MORTON GROVE, IL 60053-1546
- **Practice address phone:** (847) 810-9095
- **Mailing address:** 5630 LYONS ST, MORTON GROVE, IL 60053-1546
- **Mailing address phone:** (847) 810-9095

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 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 | — | NULL | Yes |
| 2085U0001X | Diagnostic Ultrasound Physician | — | — | Yes |

## Other

- **Enumeration date:** 10/03/2014
- **Last updated:** 10/03/2014