Provider Demographics
NPI:1366455438
Name:EXCEL CARE HEALTH SERVICES INC
Entity type:Organization
Organization Name:EXCEL CARE HEALTH SERVICES INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
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
Mailing Address - Street 2:SUITE 175
Mailing Address - City:LINCOLNWOOD
Mailing Address - State:IL
Mailing Address - Zip Code:60712-1709
Mailing Address - Country:US
Mailing Address - Phone:847-675-8090
Mailing Address - Fax:847-675-8091
Practice Address - Street 1:7301 N LINCOLN AVE
Practice Address - Street 2:SUITE 175
Practice Address - City:LINCOLNWOOD
Practice Address - State:IL
Practice Address - Zip Code:60712-1709
Practice Address - Country:US
Practice Address - Phone:847-675-8090
Practice Address - Fax:847-675-8091
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-08-13
Last Update Date:2015-06-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL1011282251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
IL1011282OtherSTATE LICENSE