| Onsite Healthcare, Inc., Sc | |
|
7301 N Lincoln Ave Suite #183 Lincolnwood IL 60712-1709 | |
| (847) 810-9095 | |
| Not Available |
| Full Name | Onsite Healthcare, Inc., Sc |
|---|---|
| Speciality | Internal Medicine |
| Location | 7301 N Lincoln Ave, Lincolnwood, Illinois |
| Authorized Official Name and Position | Issam M Maatouk (DIRECTOR) |
| Authorized Official Contact | 8478109095 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Onsite Healthcare, Inc., Sc 7301 N Lincoln Ave Suite #183 Lincolnwood IL 60712-1709 Ph: (847) 810-9095 | Onsite Healthcare, Inc., Sc 7301 N Lincoln Ave Suite #183 Lincolnwood IL 60712-1709 Ph: (847) 810-9095 |
| NPI Number | 1740585579 |
|---|---|
| Provider Enumeration Date | 01/26/2011 |
| Last Update Date | 10/02/2015 |
| Medicare PECOS PAC ID | 1153505565 |
|---|---|
| Medicare Enrollment ID | O20110408000722 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1740585579 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | 036086819 (Illinois) | Primary |
| 207R00000X | Internal Medicine | 01041801A (Indiana) | Secondary |
| Provider Name | Kathleen A Ward |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1861501728 PECOS PAC ID: 8325952443 Enrollment ID: I20031113000758 |
| Provider Name | Zivojin S Pavlovic |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1669454658 PECOS PAC ID: 7810980240 Enrollment ID: I20040403000044 |
| Provider Name | Issam M Maatouk |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1013051705 PECOS PAC ID: 6103981063 Enrollment ID: I20090210000591 |
| Provider Name | Michal A Piszczuk |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1679737100 PECOS PAC ID: 6204090780 Enrollment ID: I20120613000291 |
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