Individual
DR. ISSAM MOUSSA MAATOUK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
7301 N LINCOLN AVE STE 183, LINCOLNWOOD, IL 60712-1736
(224) 766-7669
Mailing address
3926 W TOUHY AVE, # 372, LINCOLNWOOD, IL 60712-1028
(847) 810-9095
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
01041801A
IN
207R00000X
Internal Medicine Physician
Primary
036-086819
IL
Other
Enumeration date
02/16/2007
Last updated
10/04/2021
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