Provider Demographics
NPI:1790373454
Name:ONSITE HEALTH THERAPIES, LLC
Entity type:Organization
Organization Name:ONSITE HEALTH THERAPIES, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:ISSAM
Authorized Official - Middle Name:
Authorized Official - Last Name:MAATOUK
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:847-810-9095
Mailing Address - Street 1:7301 N LINCOLN AVE STE 180
Mailing Address - Street 2:
Mailing Address - City:LINCOLNWOOD
Mailing Address - State:IL
Mailing Address - Zip Code:60712-1736
Mailing Address - Country:US
Mailing Address - Phone:847-213-1106
Mailing Address - Fax:773-787-1500
Practice Address - Street 1:7301 N LINCOLN AVE STE 180
Practice Address - Street 2:
Practice Address - City:LINCOLNWOOD
Practice Address - State:IL
Practice Address - Zip Code:60712-1736
Practice Address - Country:US
Practice Address - Phone:847-213-1106
Practice Address - Fax:773-787-1500
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-01-07
Last Update Date:2021-01-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistGroup - Multi-Specialty