Active NPI
Onsite Health Ancillary Services
- Internal Medicine Physician
- Lincolnwood, IL
National Provider Identifier
1497188692
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- Legal business name
- ONSITE HEALTH ANCILLARY SERVICES
- Practice address
- 7301 N Lincoln Ave
Suite 183
Lincolnwood, IL 60712 - Phone
- (708) 937-8125
- Fax
- (847) 674-0892
- NPI assigned
- Aug 12, 2013
- Organization subpart
- Yes
- Parent organization
- ONSITE HEALTHCARE, INC., SC
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Issam Maatouk, M.D.
- Title
- President
- Phone
- (847) 810-9095
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | |||
| Internal Medicine Physician | 207R00000X | Primary | ||
| Geriatric Medicine (Internal Medicine) Physician | 207RG0300X | |||
| Pain Medicine Physician | 208VP0000X |
Addresses
Primary practice location
7301 N Lincoln Ave
Suite 183
Lincolnwood, IL 60712
Mailing address
5630 Lyons
Morton Grove, IL 60053
National Provider Directory
National Provider Directory- Part of
- Onsite Healthcare Inc SC
Ownership & related parties
Parent organization (reported in NPPES) 1
This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.
-
- Internal Medicine Physician
- Lincolnwood, IL
- NPI 1740585579
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1376265600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1376265600000",
"number": "1497188692",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5630 LYONS",
"city": "MORTON GROVE",
"state": "IL",
"postal_code": "60053"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7301 N LINCOLN AVE",
"address_2": "SUITE 183",
"city": "LINCOLNWOOD",
"state": "IL",
"postal_code": "60712",
"telephone_number": "708-937-8125",
"fax_number": "847-674-0892"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ONSITE HEALTH ANCILLARY SERVICES",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "ONSITE HEALTHCARE, INC., SC",
"enumeration_date": "2013-08-12",
"last_updated": "2013-08-12",
"status": "A",
"authorized_official_last_name": "MAATOUK",
"authorized_official_first_name": "ISSAM",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "847-810-9095",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Family Medicine",
"state": null,
"license": null,
"primary": false
},
{
"code": "207R00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Internal Medicine",
"state": null,
"license": null,
"primary": true
},
{
"code": "207RG0300X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Internal Medicine, Geriatric Medicine",
"state": null,
"license": null,
"primary": false
},
{
"code": "208VP0000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Pain Medicine, Pain Medicine",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Lincolnwood, IL
- Christopher Michael Olesen, PTA
- Omni Health PC
- Omni Primary Care and Aesthetic Medicine SC
- One Step Clinical Services Inc
- Onsite Durable Medical Equipment Inc.
- Onsite Health Specialty Physicians, Inc
- Onsite Health Therapies, LLC
- Onsite Healthcare System,Inc
- Onsite Healthcare, Inc., SC
- Opal Therapy Services LLC.
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 12, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.