Organization Active NPI

Onsite Health Ancillary Services

  • Internal Medicine Physician
  • Lincolnwood, IL
National Provider Identifier
1497188692
Registry record updated Aug 12, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
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., SCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Aug 12, 2013

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)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207Q00000X
Internal Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207R00000X Primary
Geriatric Medicine (Internal Medicine) PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207RG0300X
Pain Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 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.

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

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.

Verify at the official NPI Registry.