Ruba M Maatouk, DDS

Primary specialty

DentistTaxonomy code 122300000X

License

019026881 Issued in IL

Practice address

6835 N Lincoln Ave
Lincolnwood, IL 60712-2623

Phone

(847) 239-0001

Fax

(847) 660-2193

NPI assigned

Jun 19, 2007

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Ruba M. Maatouk DDS SC

  • Dentist
  • Lincolnwood, IL
  • NPI 1811162647
  NPD (past) Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1182211200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1417478400000",
    "number": "1174728216",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4225 LYONS ST",
            "city": "SKOKIE",
            "state": "IL",
            "postal_code": "600761633",
            "telephone_number": "224-628-1768",
            "fax_number": "847-239-0001"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6835 N LINCOLN AVE",
            "city": "LINCOLNWOOD",
            "state": "IL",
            "postal_code": "607122623",
            "telephone_number": "847-239-0001",
            "fax_number": "847-660-2193"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAATOUK",
        "first_name": "RUBA",
        "middle_name": "M",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-06-19",
        "last_updated": "2014-12-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "IL",
            "license": "019026881",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Luxottica of America Inc.
• Rhianna Lynn
• Lyric National
• M. a. Clark, Inc
• Issam Moussa Maatouk, M.D.
• Maison Trao Inc
• Elly Mak, M.D.
• Ayesha Malik
• Noa Chana Malkin, LSW
• Amanny Malley, BCBA, MS

• Dentist in Lincolnwood, IL
• Providers in Lincolnwood, IL by specialty
• Dentist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 2, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.